| NPI | 1538177316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012125) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T4557) |
| 207Q00000X Family Medicine (Licence: CA 17892) | |
| 207Q00000X Family Medicine (Licence: SC 91285) | |
| 207Q00000X Family Medicine (Licence: NJ 25MB11418600) | |
| 207Q00000X Family Medicine (Licence: IN 02006612A) | |
| 207R00000X Internal Medicine (Licence: PA OS012125) | |
| 207R00000X Internal Medicine (Licence: NV DO3045) | |
| 207Q00000X Family Medicine (Licence: FL OS18229) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-10-07 |