| NPI | 1871792051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 57977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.206930) |
| 207Q00000X Family Medicine (Licence: MO 2020043131) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA11039900) | |
| 207Q00000X Family Medicine (Licence: AL MD.42156) | |
| 207Q00000X Family Medicine (Licence: TX T9488) | |
| 207Q00000X Family Medicine (Licence: GA 89662) | |
| 207Q00000X Family Medicine (Licence: IN 01084906A) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2025-11-26 |