| NPI | 1427067255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L6597) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR C7962) |
| 207Q00000X Family Medicine (Licence: CA C52100) | |
| 207Q00000X Family Medicine (Licence: CO 44176) | |
| 207Q00000X Family Medicine (Licence: IL 036-098249) | |
| 207Q00000X Family Medicine (Licence: NC 2006-00010) | |
| 207Q00000X Family Medicine (Licence: OK 24284) | |
| 207Q00000X Family Medicine (Licence: WA MD00045544) | |
| 207Q00000X Family Medicine (Licence: AZ 34805) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-05-05 |