| NPI | 1861708703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A118149) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA09598600) |
| 207Q00000X Family Medicine (Licence: TN 52025) | |
| 207Q00000X Family Medicine (Licence: MD D78517) | |
| 207Q00000X Family Medicine (Licence: SC 37546) | |
| 207Q00000X Family Medicine (Licence: VA 0101257326) | |
| 207Q00000X Family Medicine (Licence: GA 073191) | |
| 207Q00000X Family Medicine (Licence: NC 2014-02120) | |
| 207Q00000X Family Medicine (Licence: PA MD453288) | |
| 207Q00000X Family Medicine (Licence: NY 277355) | |
| 207Q00000X Family Medicine (Licence: WV 26122) | |
| 207Q00000X Family Medicine (Licence: KY 47744) | |
| 207Q00000X Family Medicine (Licence: FL ME121654) | |
| 207Q00000X Family Medicine (Licence: MI 4301106409) | |
| 207Q00000X Family Medicine (Licence: RI MD14776) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-02-07 |