| NPI | 1336105188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 070877) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 61985) |
| 207Q00000X Family Medicine (Licence: OH 35.134792) | |
| 207Q00000X Family Medicine (Licence: DE C1-0012870) | |
| 207Q00000X Family Medicine (Licence: TN 58114) | |
| 207Q00000X Family Medicine (Licence: FL ME138304) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-08-19 |