| NPI | 1144660440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.139995) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-45570) |
| 207Q00000X Family Medicine (Licence: NH 19174) | |
| 207Q00000X Family Medicine (Licence: AZ 57277) | |
| 207Q00000X Family Medicine (Licence: MN 64519) | |
| 207Q00000X Family Medicine (Licence: CO CDR.0000196) | |
| 207Q00000X Family Medicine (Licence: NE 31177) | |
| 207Q00000X Family Medicine (Licence: KS 04-41426) | |
| 207Q00000X Family Medicine (Licence: WV 28467) | |
| 207Q00000X Family Medicine (Licence: WI 234-320) | |
| 207Q00000X Family Medicine (Licence: ND 15969) | |
| 207Q00000X Family Medicine (Licence: MD D88183) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-10-30 |