| NPI | 1710113568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 68027) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 011220) |
| 207Q00000X Family Medicine (Licence: NC 2012-01724) | |
| 207Q00000X Family Medicine (Licence: GA 068027) | |
| 207Q00000X Family Medicine (Licence: CO DR.0073333) | |
| 207Q00000X Family Medicine (Licence: WA OP61567746) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2024-08-05 |