| NPI | 1114284742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 280764) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61577678) |
| 207Q00000X Family Medicine (Licence: GA 101132) | |
| 207Q00000X Family Medicine (Licence: AZ 70744) | |
| 207Q00000X Family Medicine (Licence: IL 036.140777) | |
| 207Q00000X Family Medicine (Licence: CO DR.0073642) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-10-29 |