| NPI | 1699041434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 074711) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036163523) |
| 207Q00000X Family Medicine (Licence: KY C1336) | |
| 207Q00000X Family Medicine (Licence: WA MD61520275) | |
| 207Q00000X Family Medicine (Licence: VT 042-0016770-COMP) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA11755600) | |
| 207Q00000X Family Medicine (Licence: WV 32209) | |
| 207Q00000X Family Medicine (Licence: TN 67764) | |
| 207Q00000X Family Medicine (Licence: TX V5890) | |
| 207Q00000X Family Medicine (Licence: LA 334954) | |
| 207Q00000X Family Medicine (Licence: OH 35C.000406) | |
| 207Q00000X Family Medicine (Licence: CA C-195168) | |
| 207Q00000X Family Medicine (Licence: NH 23710) | |
| 207Q00000X Family Medicine (Licence: ME MD26808) | |
| 207Q00000X Family Medicine (Licence: MD D0096346) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2025-11-11 |