| NPI | 1841467263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.120402) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 59854) |
| 207Q00000X Family Medicine (Licence: WI 63551-20) | |
| 207Q00000X Family Medicine (Licence: MS 23698) | |
| 207Q00000X Family Medicine (Licence: ND 13584) | |
| 207Q00000X Family Medicine (Licence: IA MD-40656) | |
| 207Q00000X Family Medicine (Licence: AZ 40726) | |
| 207Q00000X Family Medicine (Licence: TX Q3322) | |
| 207Q00000X Family Medicine (Licence: CA C140869) | |
| 207Q00000X Family Medicine (Licence: GA 74853) | |
| 207Q00000X Family Medicine (Licence: UT 9114006-1205) | |
| 207Q00000X Family Medicine (Licence: KS 04-37528) | |
| 207Q00000X Family Medicine (Licence: MO 2014030682) | |
| 207Q00000X Family Medicine (Licence: AL MD.33713) | |
| 207Q00000X Family Medicine (Licence: SD 9338) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-10-18 |