| NPI | 1134123821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDRH.0046230) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD183947) |
| 207Q00000X Family Medicine (Licence: CA 150529) | |
| 207Q00000X Family Medicine (Licence: WY 11433A) | |
| 207Q00000X Family Medicine (Licence: FL ME133313) | |
| 207Q00000X Family Medicine (Licence: ID M-13888) | |
| 207Q00000X Family Medicine (Licence: WA MD60771851) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-59836) | |
| 207Q00000X Family Medicine (Licence: AK 124688) | |
| 207Q00000X Family Medicine (Licence: AZ 54999) | |
| 207Q00000X Family Medicine (Licence: HI MD-19398) | |
| 207Q00000X Family Medicine (Licence: NM MD2017-0960) | |
| 207Q00000X Family Medicine (Licence: NV 17595) | |
| 207Q00000X Family Medicine (Licence: TX L6320) | |
| 207Q00000X Family Medicine (Licence: CO 46230) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-07-24 |