| NPI | 1164629002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO-1083) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2015-02452) |
| 207Q00000X Family Medicine (Licence: OH 34.012102) | |
| 207Q00000X Family Medicine (Licence: KY 03953) | |
| 207Q00000X Family Medicine (Licence: VA 0102204445) | |
| 207Q00000X Family Medicine (Licence: TN 3036) | |
| 207Q00000X Family Medicine (Licence: SC 39364) | |
| 207Q00000X Family Medicine (Licence: DC DO034561) | |
| 207Q00000X Family Medicine (Licence: NH 17704) | |
| 207Q00000X Family Medicine (Licence: GA 076649) | |
| 207Q00000X Family Medicine (Licence: FL OS14309) | |
| 207Q00000X Family Medicine (Licence: TX R0735) | |
| 207Q00000X Family Medicine (Licence: WV 3140) | |
| 207Q00000X Family Medicine (Licence: AR E-10242) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2019-10-21 |