| NPI | 1568668531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 141389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 87528) |
| 207Q00000X Family Medicine (Licence: IL 036162648) | |
| 207Q00000X Family Medicine (Licence: CA C172556) | |
| 207Q00000X Family Medicine (Licence: TX T4703) | |
| 207Q00000X Family Medicine (Licence: PA MD472669) | |
| 207Q00000X Family Medicine (Licence: OH 35C.000363) | |
| 207Q00000X Family Medicine (Licence: NY 307751) | |
| 207Q00000X Family Medicine (Licence: TN 67590) | |
| 207Q00000X Family Medicine (Licence: VA 0101271889) | |
| 207Q00000X Family Medicine (Licence: WA MD61398285) | |
| 207Q00000X Family Medicine (Licence: AZ 68969) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-05-13 |