| NPI | 1790706224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9800805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01081188A) |
| 207Q00000X Family Medicine (Licence: RI MD16441) | |
| 207Q00000X Family Medicine (Licence: VA 0101265788) | |
| 207Q00000X Family Medicine (Licence: TX R9733) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-09-10 |