| NPI | 1447749890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 308991) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB11266100) |
| 207Q00000X Family Medicine (Licence: CT 70553) | |
| 207Q00000X Family Medicine (Licence: FL TPOS341) | |
| 207Q00000X Family Medicine (Licence: AZ 009588) | |
| 207Q00000X Family Medicine (Licence: GA 91629) | |
| 207Q00000X Family Medicine (Licence: OH 34.015800) | |
| 207Q00000X Family Medicine (Licence: TX T5868) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2022-09-07 |