| NPI | 1134481898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 290248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C185935) |
| 207Q00000X Family Medicine (Licence: ID MRM-1255) | |
| 207Q00000X Family Medicine (Licence: OR MD173824) | |
| 207Q00000X Family Medicine (Licence: NH 24137) | |
| 207Q00000X Family Medicine (Licence: FL ME161143) | |
| 207Q00000X Family Medicine (Licence: TX U6597) | |
| 207Q00000X Family Medicine (Licence: PA MD480083) | |
| 207Q00000X Family Medicine (Licence: ME MD23591) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2025-06-19 |