| NPI | 1619959798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 35002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61590783) |
| 207Q00000X Family Medicine (Licence: SC 94879) | |
| 207Q00000X Family Medicine (Licence: AL MD.49791) | |
| 207Q00000X Family Medicine (Licence: MT 127367) | |
| 207Q00000X Family Medicine (Licence: CA G-198937) | |
| 207Q00000X Family Medicine (Licence: NC 2025-01900) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-11-12 |