| NPI | 1013090224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 35603) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 26838) |
| 207Q00000X Family Medicine (Licence: NY 308844) | |
| 207Q00000X Family Medicine (Licence: CA C171652) | |
| 207Q00000X Family Medicine (Licence: MA 261630) | |
| 207Q00000X Family Medicine (Licence: MI 4301503993) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-05-14 |