| NPI | 1750539607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD15231) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101264985) |
| 207Q00000X Family Medicine (Licence: DC MD046303) | |
| 207Q00000X Family Medicine (Licence: SC 52241) | |
| 207Q00000X Family Medicine (Licence: OH 35.134032) | |
| 207Q00000X Family Medicine (Licence: FL ME136602) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2019-10-28 |