| NPI | 1316101124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 279186-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S7405) |
| 207Q00000X Family Medicine (Licence: NM MD2011-0563) | |
| 207Q00000X Family Medicine (Licence: AZ 58349) | |
| 207Q00000X Family Medicine (Licence: OH 35.140675) | |
| 207Q00000X Family Medicine (Licence: FL 812) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2020-10-21 |