| NPI | 1720360746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26NJ00345100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 24194163) |
| 207Q00000X Family Medicine (Licence: NY F357693-01) | |
| 207Q00000X Family Medicine (Licence: SC 27132) | |
| 207Q00000X Family Medicine (Licence: WI 17231-33) | |
| 207Q00000X Family Medicine (Licence: WV 123764) | |
| 207Q00000X Family Medicine (Licence: NC 5021999) | |
| 207Q00000X Family Medicine (Licence: ND 203019) | |
| 207Q00000X Family Medicine (Licence: CT 11860) | |
| 207Q00000X Family Medicine (Licence: GA GAA-NP003835) | |
| 207Q00000X Family Medicine (Licence: PA SP016443) | |
| 207Q00000X Family Medicine (Licence: SD CP003764) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2025-10-15 |