| NPI | 1366412876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO CDRH.0041943) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S2390) |
| 207Q00000X Family Medicine (Licence: AZ 007486) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-66302) | |
| 207Q00000X Family Medicine (Licence: NM A-2152-18) | |
| 207Q00000X Family Medicine (Licence: SD 10823) | |
| 207Q00000X Family Medicine (Licence: IL 036145321) | |
| 207Q00000X Family Medicine (Licence: WA OP60820743) | |
| 207Q00000X Family Medicine (Licence: WY 11407C) | |
| 207Q00000X Family Medicine (Licence: ID OC-0012) | |
| 207Q00000X Family Medicine (Licence: WI 14-321) | |
| 207Q00000X Family Medicine (Licence: CA 20A16244) | |
| 207Q00000X Family Medicine (Licence: NV DO2337) | |
| 207Q00000X Family Medicine (Licence: MN 63434) | |
| 207Q00000X Family Medicine (Licence: OR DO191682) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2019-10-30 |