| NPI | 1417078999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 059488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 054688) |
| 207Q00000X Family Medicine (Licence: FL ME125196) | |
| 207Q00000X Family Medicine (Licence: CO 0000609) | |
| 207Q00000X Family Medicine (Licence: KS 04-40105) | |
| 207Q00000X Family Medicine (Licence: KY 49788) | |
| 207Q00000X Family Medicine (Licence: CA A117083) | |
| 207Q00000X Family Medicine (Licence: LA 322039) | |
| 207Q00000X Family Medicine (Licence: MD D79972) | |
| 207Q00000X Family Medicine (Licence: AL 00039201) | |
| 207Q00000X Family Medicine (Licence: ME MD20710) | |
| 207Q00000X Family Medicine (Licence: IN 01075598A) | |
| 207Q00000X Family Medicine (Licence: IL 036151557) | |
| 207Q00000X Family Medicine (Licence: AZ 60628) | |
| 207Q00000X Family Medicine (Licence: DE C1-0011698) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-11-25 |