| NPI | 1518287812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.132417) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 42055) |
| 207Q00000X Family Medicine (Licence: OR MD202531) | |
| 207Q00000X Family Medicine (Licence: AL 43548) | |
| 207Q00000X Family Medicine (Licence: CT 075616) | |
| 207Q00000X Family Medicine (Licence: AZ 47115) | |
| 207Q00000X Family Medicine (Licence: OH 35.139958) | |
| 207Q00000X Family Medicine (Licence: IN 01091768A) | |
| 207Q00000X Family Medicine (Licence: MS 31930) | |
| 207Q00000X Family Medicine (Licence: GA 86307) | |
| 207Q00000X Family Medicine (Licence: WI 1017-320) | |
| 207Q00000X Family Medicine (Licence: WA MD61092503) | |
| 207Q00000X Family Medicine (Licence: FL TPME327) | |
| 207Q00000X Family Medicine (Licence: ID MC-0656) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-COM-LIC-903) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-06-13 |