| NPI | 1821045980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.15708R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 15708R) |
| 207Q00000X Family Medicine (Licence: OH 35.057810) | |
| 207Q00000X Family Medicine (Licence: SC 61228) | |
| 207Q00000X Family Medicine (Licence: ND 15281) | |
| 207Q00000X Family Medicine (Licence: AR E-11644) | |
| 207Q00000X Family Medicine (Licence: TX R8834) | |
| 207Q00000X Family Medicine (Licence: OK 34069) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-08-19 |