| NPI | 1922159896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M5586) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036143944) |
| 207Q00000X Family Medicine (Licence: MN 62772) | |
| 207Q00000X Family Medicine (Licence: AL MD.36109) | |
| 207Q00000X Family Medicine (Licence: MO 2017023778) | |
| 207Q00000X Family Medicine (Licence: WI 67756-20) | |
| 207Q00000X Family Medicine (Licence: UT 10378410-1205) | |
| 207Q00000X Family Medicine (Licence: KS 04-40039) | |
| 207Q00000X Family Medicine (Licence: NE 30219) | |
| 207Q00000X Family Medicine (Licence: OK 32823) | |
| 207Q00000X Family Medicine (Licence: MS 25330) | |
| 207Q00000X Family Medicine (Licence: SD 10615) | |
| 207Q00000X Family Medicine (Licence: IA MD-44742) | |
| 207Q00000X Family Medicine (Licence: ND 14863) | |
| 207Q00000X Family Medicine (Licence: LA 312076) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-01-31 |