| NPI | 1124292578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 51283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY TP653) |
| 207Q00000X Family Medicine (Licence: MO 2019031609) | |
| 207Q00000X Family Medicine (Licence: MI 4301119382) | |
| 207Q00000X Family Medicine (Licence: IA DO-05412) | |
| 207Q00000X Family Medicine (Licence: NE 2020) | |
| 207Q00000X Family Medicine (Licence: SD 11518) | |
| 207Q00000X Family Medicine (Licence: ME D02923) | |
| 207Q00000X Family Medicine (Licence: CO DR.0062516) | |
| 207Q00000X Family Medicine (Licence: NY 299885) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-10-16 |