| NPI | 1326242397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2012-00930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042.0013713) |
| 207Q00000X Family Medicine (Licence: NY 286857) | |
| 207Q00000X Family Medicine (Licence: MD D82892) | |
| 207Q00000X Family Medicine (Licence: DE C1-0011962) | |
| 207Q00000X Family Medicine (Licence: IN 01077907A) | |
| 207Q00000X Family Medicine (Licence: ME MD21379) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA10028800) | |
| 207Q00000X Family Medicine (Licence: PA MD460049) | |
| 207Q00000X Family Medicine (Licence: CT 55962) | |
| 207Q00000X Family Medicine (Licence: MI 4301111261) | |
| 207Q00000X Family Medicine (Licence: RI MD15634) | |
| 207Q00000X Family Medicine (Licence: OH 35.089492) | |
| 207Q00000X Family Medicine (Licence: AR E-12705) | |
| 207Q00000X Family Medicine (Licence: GA 84764) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-02-03 |