| NPI | 1720164239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A76974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T2033) |
| 207Q00000X Family Medicine (Licence: FL ME147618) | |
| 207Q00000X Family Medicine (Licence: IA MD-47866) | |
| 207Q00000X Family Medicine (Licence: CO DR.0065122) | |
| 207Q00000X Family Medicine (Licence: HI MD-11656) | |
| 207Q00000X Family Medicine (Licence: NY 307217) | |
| 207Q00000X Family Medicine (Licence: AZ 61744) | |
| 207Q00000X Family Medicine (Licence: NM MD2020-1030) | |
| 207Q00000X Family Medicine (Licence: AK 166659) | |
| 207Q00000X Family Medicine (Licence: OR MD201499) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2022-11-01 |