| NPI | 1467890665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-46367) |
| 207Q00000X Family Medicine (Licence: AL MD.38356) | |
| 207Q00000X Family Medicine (Licence: ME MD23159) | |
| 207Q00000X Family Medicine (Licence: TN 55551) | |
| 207Q00000X Family Medicine (Licence: ID MC-0233) | |
| 207Q00000X Family Medicine (Licence: AZ 59051) | |
| 207Q00000X Family Medicine (Licence: NV 18939) | |
| 207Q00000X Family Medicine (Licence: MD D83101) | |
| 207Q00000X Family Medicine (Licence: UT 11331233-1205) | |
| 207Q00000X Family Medicine (Licence: SD 11558) | |
| 207Q00000X Family Medicine (Licence: MN 65629) | |
| 207Q00000X Family Medicine (Licence: WY 12159C) | |
| 207Q00000X Family Medicine (Licence: WI 462-320) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2024-06-11 |