| NPI | 1700240603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 82915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 324363) |
| 207Q00000X Family Medicine (Licence: CO DR.0071534) | |
| 207Q00000X Family Medicine (Licence: CA A157142) | |
| 207Q00000X Family Medicine (Licence: MA 1014782) | |
| 207Q00000X Family Medicine (Licence: FL ME160760) | |
| 207Q00000X Family Medicine (Licence: TX U3339) | |
| 207Q00000X Family Medicine (Licence: HI MD22062) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2024-08-29 |