| NPI | 1154308054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 42376) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 51980-20) |
| 207Q00000X Family Medicine (Licence: IN 01072488A) | |
| 207Q00000X Family Medicine (Licence: TX P9989) | |
| 207Q00000X Family Medicine (Licence: OK 29912) | |
| 207Q00000X Family Medicine (Licence: OH 35.122172) | |
| 207Q00000X Family Medicine (Licence: NY 268105-1) | |
| 207Q00000X Family Medicine (Licence: NM MD2013-0891) | |
| 207Q00000X Family Medicine (Licence: NE 27356) | |
| 207Q00000X Family Medicine (Licence: MI 4301102453) | |
| 207Q00000X Family Medicine (Licence: LA MD.206767) | |
| 207Q00000X Family Medicine (Licence: IL 036.131953) | |
| 207Q00000X Family Medicine (Licence: CT 051623) | |
| 207Q00000X Family Medicine (Licence: MO 2013011071) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2019-05-17 |