| NPI | 1598051807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB09629500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI DO00767) |
| 207Q00000X Family Medicine (Licence: SC 83803) | |
| 207Q00000X Family Medicine (Licence: MD H84356) | |
| 207Q00000X Family Medicine (Licence: NY 281255-1) | |
| 207Q00000X Family Medicine (Licence: PA OS018981) | |
| 207Q00000X Family Medicine (Licence: MI 5101023703) | |
| 207Q00000X Family Medicine (Licence: MN 70859) | |
| 207Q00000X Family Medicine (Licence: MO 2022006317) | |
| 207Q00000X Family Medicine (Licence: MA 273844) | |
| 207Q00000X Family Medicine (Licence: TX T6602) | |
| 207Q00000X Family Medicine (Licence: VA 0102203861) | |
| 207Q00000X Family Medicine (Licence: IN 02005242A) | |
| 207Q00000X Family Medicine (Licence: OH 34.013114) | |
| 207Q00000X Family Medicine (Licence: NC 2022-00187) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2024-03-14 |