| NPI | 1558646513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11887) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 4731) |
| 207Q00000X Family Medicine (Licence: NJ 25MB11399000) | |
| 207Q00000X Family Medicine (Licence: CO CDR.0002301) | |
| 207Q00000X Family Medicine (Licence: WA OP61182013) | |
| 207Q00000X Family Medicine (Licence: OR DO205734) | |
| 207Q00000X Family Medicine (Licence: AZ 009618) | |
| 207Q00000X Family Medicine (Licence: TX T9659) | |
| 207Q00000X Family Medicine (Licence: IL 036.158664) | |
| 207Q00000X Family Medicine (Licence: FL OS18561) | |
| 207Q00000X Family Medicine (Licence: PA OS021889) | |
| 207Q00000X Family Medicine (Licence: OH 34.016891) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2025-09-03 |