| NPI | 1336282011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2019-00248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61501147) |
| 207Q00000X Family Medicine (Licence: AZ 010943) | |
| 207Q00000X Family Medicine (Licence: NH 23929) | |
| 207Q00000X Family Medicine (Licence: CO DR.0072170) | |
| 207Q00000X Family Medicine (Licence: MO 2006032132) | |
| 207Q00000X Family Medicine (Licence: TX V1776) | |
| 207Q00000X Family Medicine (Licence: MA 1013153) | |
| 207Q00000X Family Medicine (Licence: GA 95428) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2025-04-18 |