| NPI | 1336464049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015831) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101024248) |
| 207Q00000X Family Medicine (Licence: MD H85838) | |
| 207Q00000X Family Medicine (Licence: NY 295157) | |
| 207Q00000X Family Medicine (Licence: MA 277254) | |
| 207Q00000X Family Medicine (Licence: TX R9398) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2019-08-16 |