| NPI | 1801973664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD16388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 176017) |
| 207Q00000X Family Medicine (Licence: WA MD00029171) | |
| 207Q00000X Family Medicine (Licence: AZ 19166) | |
| 207Q00000X Family Medicine (Licence: VA 0101053446) | |
| 207Q00000X Family Medicine (Licence: CA A46302) | |
| 207Q00000X Family Medicine (Licence: GA 032598) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-01-17 |