| NPI | 1790829554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5233) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036141743) |
| 207Q00000X Family Medicine (Licence: WA OP60688739) | |
| 207Q00000X Family Medicine (Licence: OH 34.012500) | |
| 207Q00000X Family Medicine (Licence: NV DO2146) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-51701) | |
| 207Q00000X Family Medicine (Licence: MN 61550) | |
| 207Q00000X Family Medicine (Licence: GA 077061) | |
| 207Q00000X Family Medicine (Licence: CO DR.0057771) | |
| 207Q00000X Family Medicine (Licence: ID O-1010) | |
| 207Q00000X Family Medicine (Licence: WY 10860A) | |
| 207Q00000X Family Medicine (Licence: AZ 007068) | |
| 207Q00000X Family Medicine (Licence: HI DOS-1784) | |
| 207Q00000X Family Medicine (Licence: NM A-2052-17) | |
| 207Q00000X Family Medicine (Licence: OR MD180345) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-03-22 |