| NPI | 1659954212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11012570) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA rn10021602) |
| 207Q00000X Family Medicine (Licence: TX 1151148) | |
| 207Q00000X Family Medicine (Licence: VT 1010137686) | |
| 207Q00000X Family Medicine (Licence: DC np500024020) | |
| 207Q00000X Family Medicine (Licence: CO capn0101517) | |
| 207Q00000X Family Medicine (Licence: CT 12015574) | |
| 207Q00000X Family Medicine (Licence: ME cnp241291) | |
| 207Q00000X Family Medicine (Licence: KS 5383486081) | |
| 207Q00000X Family Medicine (Licence: OH 0038783) | |
| 207Q00000X Family Medicine (Licence: NH 11259723) | |
| 207Q00000X Family Medicine (Licence: DE LG-0012803) | |
| 207Q00000X Family Medicine (Licence: KY 4022776) | |
| 207Q00000X Family Medicine (Licence: MD ac006819) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-10-24 |