| NPI | 1780002626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO182259) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID OC-0232) |
| 207Q00000X Family Medicine (Licence: IA DO-05711) | |
| 207Q00000X Family Medicine (Licence: IL 036.155039) | |
| 207Q00000X Family Medicine (Licence: WA OP61036525) | |
| 207Q00000X Family Medicine (Licence: MN 68493) | |
| 207Q00000X Family Medicine (Licence: MT MEDPHYSCOMLIC114192) | |
| 207Q00000X Family Medicine (Licence: TX T8101) | |
| 207Q00000X Family Medicine (Licence: VA 0102206939) | |
| 207Q00000X Family Medicine (Licence: WI 64755-21) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: AZ 008933) | |
| 207Q00000X Family Medicine (Licence: CO CDR.0000964) | |
| 207Q00000X Family Medicine (Licence: MI EMC0000720) | |
| 207Q00000X Family Medicine (Licence: GA 87400) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2022-09-21 |