| NPI | 1619991064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD08497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301108765) |
| 207Q00000X Family Medicine (Licence: DE C1-0011547) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA09833800) | |
| 207Q00000X Family Medicine (Licence: MA 265343) | |
| 207Q00000X Family Medicine (Licence: MD D80704) | |
| 207Q00000X Family Medicine (Licence: ME MD20824) | |
| 207Q00000X Family Medicine (Licence: PA MD456976) | |
| 207Q00000X Family Medicine (Licence: CT 55110) | |
| 207Q00000X Family Medicine (Licence: IN 01076690A) | |
| 207Q00000X Family Medicine (Licence: VT 042.0013369) | |
| 207Q00000X Family Medicine (Licence: FL ME130791) | |
| 207Q00000X Family Medicine (Licence: GA 077731) | |
| 207Q00000X Family Medicine (Licence: NY 282381) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-09-10 |