| NPI | 1043299936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDRH.0032562) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 64862) |
| 207Q00000X Family Medicine (Licence: ME MD22787) | |
| 207Q00000X Family Medicine (Licence: AZ 21224) | |
| 207Q00000X Family Medicine (Licence: IA MD-45826) | |
| 207Q00000X Family Medicine (Licence: MS 26378) | |
| 207Q00000X Family Medicine (Licence: NV 18508) | |
| 207Q00000X Family Medicine (Licence: WI 314-320) | |
| 207Q00000X Family Medicine (Licence: IL 036147968) | |
| 207Q00000X Family Medicine (Licence: AL MD.37711) | |
| 207Q00000X Family Medicine (Licence: SD 11299) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2019-08-22 |