NPI | 1245466093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME108368) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C171201) |
207Q00000X Family Medicine (Licence: GA 90107) | |
207Q00000X Family Medicine (Licence: IL 036159455) | |
207Q00000X Family Medicine (Licence: MI 4301505230) | |
207Q00000X Family Medicine (Licence: NJ 25MA11229100) | |
207Q00000X Family Medicine (Licence: OH 35.143296) | |
207Q00000X Family Medicine (Licence: TX T3331) | |
207Q00000X Family Medicine (Licence: VA 0101272818) | |
Enumeration Date | 2009-06-08 |
Last Update Date | 2025-07-24 |