| NPI | 1447202478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 69063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00001983) |
| 207Q00000X Family Medicine (Licence: GA 068387) | |
| 207Q00000X Family Medicine (Licence: MI 5315104886) | |
| 207Q00000X Family Medicine (Licence: FL 13951) | |
| 207Q00000X Family Medicine (Licence: IL 036131295) | |
| 207Q00000X Family Medicine (Licence: IL 36131295) | |
| 207Q00000X Family Medicine (Licence: NY 267643) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-02-14 |