| NPI | 1235223926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME102085) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301084488) |
| 207Q00000X Family Medicine (Licence: SC 52315) | |
| 207Q00000X Family Medicine (Licence: NC 2018-01179) | |
| 207Q00000X Family Medicine (Licence: KY 51481) | |
| 207Q00000X Family Medicine (Licence: TN 57419) | |
| 207Q00000X Family Medicine (Licence: DC MD046113) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-08-12 |