| NPI | 1760736904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S0249) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 67633) |
| 207Q00000X Family Medicine (Licence: IL 036.163434) | |
| 207Q00000X Family Medicine (Licence: OH 35C.000375) | |
| 207Q00000X Family Medicine (Licence: MI EMC0002887) | |
| 207Q00000X Family Medicine (Licence: MO 2023028371) | |
| 207Q00000X Family Medicine (Licence: SC 90714) | |
| 207Q00000X Family Medicine (Licence: KY C1322) | |
| 207Q00000X Family Medicine (Licence: GA 68815) | |
| 207Q00000X Family Medicine (Licence: NV 25130) | |
| 207Q00000X Family Medicine (Licence: FL ME142458) | |
| 207Q00000X Family Medicine (Licence: PA MD472163) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2024-06-18 |