| NPI | 1871734418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A87144) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0054183) |
| 207Q00000X Family Medicine (Licence: HI MD-17979) | |
| 207Q00000X Family Medicine (Licence: WA MD60484143) | |
| 207Q00000X Family Medicine (Licence: AZ 49626) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-34618) | |
| 207Q00000X Family Medicine (Licence: OR MD169043) | |
| 207Q00000X Family Medicine (Licence: NM MD2014-0743) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2019-08-15 |