| NPI | 1588848386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 290973-01) |
| 174400000X Specialist (Licence: FL ME117731) | |
| 207Q00000X Family Medicine (Licence: CA 148865) | |
| 207Q00000X Family Medicine (Licence: WA MD61096651) | |
| 207Q00000X Family Medicine (Licence: PA MD459430) | |
| 207Q00000X Family Medicine (Licence: VA 0101270807) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2022-07-06 |