| NPI | 1376632158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35052437) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 16545) |
| 207Q00000X Family Medicine (Licence: CA G68883) | |
| 207Q00000X Family Medicine (Licence: WY 10681A) | |
| 207Q00000X Family Medicine (Licence: WA MD60633801) | |
| 207Q00000X Family Medicine (Licence: AZ 52042) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-44990) | |
| 207Q00000X Family Medicine (Licence: ID M-13196) | |
| 207Q00000X Family Medicine (Licence: CO DR.0057080) | |
| 207Q00000X Family Medicine (Licence: OR MD175712) | |
| 207Q00000X Family Medicine (Licence: NM MD2016-0808) | |
| 207Q00000X Family Medicine (Licence: AK 114311) | |
| 207Q00000X Family Medicine (Licence: HI MD-18905) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-09-12 |