| NPI | 1023062684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 102411-875) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01087389A) |
| 207Q00000X Family Medicine (Licence: TX T5422) | |
| 207Q00000X Family Medicine (Licence: MO 2022011593) | |
| 207Q00000X Family Medicine (Licence: CT 65342) | |
| 207Q00000X Family Medicine (Licence: OH 35.139913) | |
| 207Q00000X Family Medicine (Licence: VA 0101265021) | |
| 207Q00000X Family Medicine (Licence: NC 2018-01735) | |
| 207Q00000X Family Medicine (Licence: CA C159878) | |
| 207Q00000X Family Medicine (Licence: FL ME146470) | |
| 207Q00000X Family Medicine (Licence: PA MD466228) | |
| 207Q00000X Family Medicine (Licence: KY 51978) | |
| 207Q00000X Family Medicine (Licence: MN 70814) | |
| 207Q00000X Family Medicine (Licence: SC 19570) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-02-25 |