| NPI | 1467554824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3195) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019042393) |
| 207Q00000X Family Medicine (Licence: TX S3871) | |
| 207Q00000X Family Medicine (Licence: ND PT16084) | |
| 207Q00000X Family Medicine (Licence: LA 321186) | |
| 207Q00000X Family Medicine (Licence: NC 2019-02410) | |
| 207Q00000X Family Medicine (Licence: AR E-12694) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-11-19 |