| NPI | 1528042629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 268282) |
| 207Q00000X Family Medicine (Licence: RI DO00722) | |
| 207Q00000X Family Medicine (Licence: NJ 25MB09254300) | |
| 207Q00000X Family Medicine (Licence: IL 036.132263) | |
| 207Q00000X Family Medicine (Licence: CT 051611) | |
| 207Q00000X Family Medicine (Licence: DE C2-0008542) | |
| 207Q00000X Family Medicine (Licence: MD H0063585) | |
| 207Q00000X Family Medicine (Licence: WV 2815) | |
| 207Q00000X Family Medicine (Licence: VA 0102203675) | |
| 207Q00000X Family Medicine (Licence: VT 032.0091528) | |
| 207Q00000X Family Medicine (Licence: SC 36657) | |
| 207Q00000X Family Medicine (Licence: OH 34.011192) | |
| 207Q00000X Family Medicine (Licence: NC 2013-02455) | |
| 207Q00000X Family Medicine (Licence: NH 16334) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2019-08-09 |