| NPI | 1013229053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101253408) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 87656) |
| 207Q00000X Family Medicine (Licence: FL ME165292) | |
| 207Q00000X Family Medicine (Licence: NY 314645) | |
| 207Q00000X Family Medicine (Licence: UT 13398411-1205) | |
| 207Q00000X Family Medicine (Licence: CO DR.0071240) | |
| 207Q00000X Family Medicine (Licence: KY 58604) | |
| 207Q00000X Family Medicine (Licence: TX U8404) | |
| 207Q00000X Family Medicine (Licence: PA MD478211) | |
| 207Q00000X Family Medicine (Licence: MN 74892) | |
| 207Q00000X Family Medicine (Licence: GA 99745) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA12088600) | |
| 207Q00000X Family Medicine (Licence: NC 2023-03438) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2024-10-25 |