| NPI | 1407968894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J6350) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 141700) |
| 207Q00000X Family Medicine (Licence: AZ 51654) | |
| 207Q00000X Family Medicine (Licence: MN 60689) | |
| 207Q00000X Family Medicine (Licence: OR MD175681) | |
| 207Q00000X Family Medicine (Licence: MS 24520) | |
| 207Q00000X Family Medicine (Licence: LA 303427) | |
| 207Q00000X Family Medicine (Licence: AL MD.35205) | |
| 207Q00000X Family Medicine (Licence: IL 036141129) | |
| 207Q00000X Family Medicine (Licence: WA MD60621771) | |
| 207Q00000X Family Medicine (Licence: CO DR.0057708) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-09-13 |