| NPI | 1649368275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2006024762) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-25447) |
| 207Q00000X Family Medicine (Licence: AZ 55198) | |
| 207Q00000X Family Medicine (Licence: WI 21-320) | |
| 207Q00000X Family Medicine (Licence: UT 10533313-1205) | |
| 207Q00000X Family Medicine (Licence: IL 036144429) | |
| 207Q00000X Family Medicine (Licence: IA MD-44657) | |
| 207Q00000X Family Medicine (Licence: CO CDR.0000038) | |
| 207Q00000X Family Medicine (Licence: TX R8421) | |
| 207Q00000X Family Medicine (Licence: MN 63140) | |
| 207Q00000X Family Medicine (Licence: WV 27902) | |
| 207Q00000X Family Medicine (Licence: MS 25367) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-60456) | |
| 207Q00000X Family Medicine (Licence: NV 17499) | |
| 207Q00000X Family Medicine (Licence: WY 11173C) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-09-10 |