| NPI | 1164834347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR MD181361) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-53568) |
| 207Q00000X Family Medicine (Licence: OR MD181361) | |
| 207Q00000X Family Medicine (Licence: WA md60734244) | |
| 207Q00000X Family Medicine (Licence: DE C1-0024847) | |
| 207Q00000X Family Medicine (Licence: TX T6799) | |
| 207Q00000X Family Medicine (Licence: MI EMC0000406) | |
| 207Q00000X Family Medicine (Licence: ID MC-0516) | |
| 207Q00000X Family Medicine (Licence: MS 29232) | |
| 207Q00000X Family Medicine (Licence: NH 21735) | |
| 207Q00000X Family Medicine (Licence: NV 21239) | |
| 207Q00000X Family Medicine (Licence: SC 88601) | |
| 207Q00000X Family Medicine (Licence: WV 30684) | |
| 207Q00000X Family Medicine (Licence: WY 11037A) | |
| 207Q00000X Family Medicine (Licence: OK 38523) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-03-13 |