| NPI | 1528034865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101247204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 52860) |
| 207Q00000X Family Medicine (Licence: CT 63817) | |
| 207Q00000X Family Medicine (Licence: LA 312663) | |
| 207Q00000X Family Medicine (Licence: FL ME141661) | |
| 207Q00000X Family Medicine (Licence: GA 83392) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-09-18 |