| NPI | 1477508430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS9473) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 3184) |
| 207Q00000X Family Medicine (Licence: TN 3027) | |
| 207Q00000X Family Medicine (Licence: VA 0102204749) | |
| 207Q00000X Family Medicine (Licence: NH 17984) | |
| 207Q00000X Family Medicine (Licence: AR E-10124) | |
| 207Q00000X Family Medicine (Licence: DC DO034606) | |
| 207Q00000X Family Medicine (Licence: GA 077124) | |
| 207Q00000X Family Medicine (Licence: SC 40253) | |
| 207Q00000X Family Medicine (Licence: KY 04059) | |
| 207Q00000X Family Medicine (Licence: NC 2016-02010) | |
| 207Q00000X Family Medicine (Licence: OH 34.012435) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-02-16 |