| NPI | 1083997860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C156518) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 271866) |
| 207Q00000X Family Medicine (Licence: DC MD041537) | |
| 207Q00000X Family Medicine (Licence: TN 55009) | |
| 207Q00000X Family Medicine (Licence: KS 04-41364) | |
| 207Q00000X Family Medicine (Licence: GA 082054) | |
| 207Q00000X Family Medicine (Licence: OH 35.135376) | |
| 207Q00000X Family Medicine (Licence: FL ME139213) | |
| 207Q00000X Family Medicine (Licence: DE C1-0013097) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2019-10-22 |