| 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 |