| NPI | 1245207273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB09093800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0007831) |
| 207Q00000X Family Medicine (Licence: NY 286151) | |
| 207Q00000X Family Medicine (Licence: GA 77356) | |
| 207Q00000X Family Medicine (Licence: IN 02004945A) | |
| 207Q00000X Family Medicine (Licence: MD H82458) | |
| 207Q00000X Family Medicine (Licence: MN 61627) | |
| 207Q00000X Family Medicine (Licence: CA 20A15427) | |
| 207Q00000X Family Medicine (Licence: PA OS006828L) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-08-12 |