| NPI | 1912012345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 236415) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R9790) |
| 207Q00000X Family Medicine (Licence: SC 82226) | |
| 207Q00000X Family Medicine (Licence: PA OS020118) | |
| 207Q00000X Family Medicine (Licence: FL OS16194) | |
| 207Q00000X Family Medicine (Licence: AR E-12440) | |
| 207Q00000X Family Medicine (Licence: OH 34.014035) | |
| 207Q00000X Family Medicine (Licence: VA 0102205798) | |
| 207Q00000X Family Medicine (Licence: NC 2019-02038) | |
| 207Q00000X Family Medicine (Licence: IA DO-05437) | |
| 207Q00000X Family Medicine (Licence: GA 84002) | |
| 207Q00000X Family Medicine (Licence: TN 3783) | |
| 207Q00000X Family Medicine (Licence: AZ 008059) | |
| 207Q00000X Family Medicine (Licence: CA 20A17775) | |
| 207Q00000X Family Medicine (Licence: KY 04620) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-10-12 |