| NPI | 1437267291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M4601) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-46862) |
| 207Q00000X Family Medicine (Licence: CA C183324) | |
| 207Q00000X Family Medicine (Licence: MN 72413) | |
| 207Q00000X Family Medicine (Licence: KY C0964) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-9545) | |
| 207Q00000X Family Medicine (Licence: CO 54637) | |
| 207Q00000X Family Medicine (Licence: MD D0095422) | |
| 207Q00000X Family Medicine (Licence: OR MD213434) | |
| 207Q00000X Family Medicine (Licence: AZ 67980) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-05-24 |