| NPI | 1356579304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P1486) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 34152) |
| 207Q00000X Family Medicine (Licence: LA 311025) | |
| 207Q00000X Family Medicine (Licence: AR E-11861) | |
| 207Q00000X Family Medicine (Licence: MO 2019000473) | |
| 207Q00000X Family Medicine (Licence: MA 277453) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2019-10-22 |