| NPI | 1386757375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301075441) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD456907) |
| 207Q00000X Family Medicine (Licence: NY 262215) | |
| 207Q00000X Family Medicine (Licence: FL ME126661) | |
| 207Q00000X Family Medicine (Licence: IN 01076307A) | |
| 207Q00000X Family Medicine (Licence: RI MD15240) | |
| 207Q00000X Family Medicine (Licence: MD D80957) | |
| 207Q00000X Family Medicine (Licence: ME MD20938) | |
| 207Q00000X Family Medicine (Licence: VT 042.0013465) | |
| 207Q00000X Family Medicine (Licence: CT 55062) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA09945900) | |
| 207Q00000X Family Medicine (Licence: GA 077043) | |
| 207Q00000X Family Medicine (Licence: MA 267139) | |
| 207Q00000X Family Medicine (Licence: CA A65622) | |
| 207Q00000X Family Medicine (Licence: AZ 51160) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-10-18 |