| NPI | 1740445667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17856) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0024658) |
| 207Q00000X Family Medicine (Licence: VA 0116020442) | |
| 207Q00000X Family Medicine (Licence: TX T6630) | |
| 207Q00000X Family Medicine (Licence: MN 67955) | |
| 207Q00000X Family Medicine (Licence: FL ME153758) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-06-29 |