| NPI | 1861550865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 62804) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME144673) |
| 207Q00000X Family Medicine (Licence: CO DR.0061967) | |
| 207Q00000X Family Medicine (Licence: HI MD-21148) | |
| 207Q00000X Family Medicine (Licence: KY 48454) | |
| 207Q00000X Family Medicine (Licence: NE 29002) | |
| 207Q00000X Family Medicine (Licence: NH 16854) | |
| 207Q00000X Family Medicine (Licence: NY 303365) | |
| 207Q00000X Family Medicine (Licence: SC MMD.36579) | |
| 207Q00000X Family Medicine (Licence: TX S9840) | |
| 207Q00000X Family Medicine (Licence: WA MD00046605) | |
| 207Q00000X Family Medicine (Licence: AZ 34101) | |
| 207Q00000X Family Medicine (Licence: NM MD2007-0175) | |
| 207Q00000X Family Medicine (Licence: AL MD.46242) | |
| 207Q00000X Family Medicine (Licence: CA C170329) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-07-27 |