| NPI | 1730482092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0059299) |
| 207Q00000X Family Medicine (Licence: FL OS14404) | |
| 207Q00000X Family Medicine (Licence: MA 269569) | |
| 207Q00000X Family Medicine (Licence: MI 5101022925) | |
| 207Q00000X Family Medicine (Licence: MN 62731) | |
| 207Q00000X Family Medicine (Licence: NE 1610) | |
| 207Q00000X Family Medicine (Licence: NV DO2396) | |
| 207Q00000X Family Medicine (Licence: NY 259267) | |
| 207Q00000X Family Medicine (Licence: PA OS018957) | |
| 207Q00000X Family Medicine (Licence: TX P4253) | |
| 207Q00000X Family Medicine (Licence: WV 3239) | |
| 207Q00000X Family Medicine (Licence: VA 0102205396) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2020-01-22 |