| NPI | 1497926562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036119065) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 18333) |
| 207Q00000X Family Medicine (Licence: WA MD60904204) | |
| 207Q00000X Family Medicine (Licence: AZ 57427) | |
| 207Q00000X Family Medicine (Licence: UT 11003075-1205) | |
| 207Q00000X Family Medicine (Licence: CA C160685) | |
| 207Q00000X Family Medicine (Licence: IA MD-46031) | |
| 207Q00000X Family Medicine (Licence: CO CDR.0000212) | |
| 207Q00000X Family Medicine (Licence: ME MD22650) | |
| 207Q00000X Family Medicine (Licence: MN 64629) | |
| 207Q00000X Family Medicine (Licence: ID MC-0121) | |
| 207Q00000X Family Medicine (Licence: SD 11382) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2020-08-04 |