| NPI | 1679892392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C159181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX p5745) |
| 207Q00000X Family Medicine (Licence: CO DR.0066763) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA11500600) | |
| 207Q00000X Family Medicine (Licence: IL 036152209) | |
| 207Q00000X Family Medicine (Licence: NY 306314) | |
| 207Q00000X Family Medicine (Licence: GA 90647) | |
| 207Q00000X Family Medicine (Licence: MD D93623) | |
| 207Q00000X Family Medicine (Licence: MA 290491) | |
| 207Q00000X Family Medicine (Licence: WA MD61077437) | |
| 207Q00000X Family Medicine (Licence: VA 0101274362) | |
| 207Q00000X Family Medicine (Licence: DC MD210002011) | |
| 207Q00000X Family Medicine (Licence: PA MD477780) | |
| 207Q00000X Family Medicine (Licence: AZ 64219) | |
| 207Q00000X Family Medicine (Licence: FL ME152060) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2023-03-16 |