| NPI | 1619049681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC NC 2011-000570) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 21573) |
| 207Q00000X Family Medicine (Licence: CO DR.0035702) | |
| 207Q00000X Family Medicine (Licence: NY 325357) | |
| 207Q00000X Family Medicine (Licence: OR DO217409) | |
| 207Q00000X Family Medicine (Licence: NM TM2024-0001) | |
| 207Q00000X Family Medicine (Licence: MS 33014) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-06-03 |