| NPI | 1356756563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101263308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME172099) |
| 207Q00000X Family Medicine (Licence: CO DR.0074554) | |
| 207Q00000X Family Medicine (Licence: UT 14196148-1205) | |
| 207Q00000X Family Medicine (Licence: SC 94004) | |
| 207Q00000X Family Medicine (Licence: NV 27377) | |
| 207Q00000X Family Medicine (Licence: MO 2025012628) | |
| 207R00000X Internal Medicine (Licence: KS 04-50629) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2025-04-16 |