| NPI | 1922328830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 69758) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT198056) |
| 207Q00000X Family Medicine (Licence: CO DR.0073324) | |
| 207Q00000X Family Medicine (Licence: DC MD043228) | |
| 207Q00000X Family Medicine (Licence: NC 2024-01861) | |
| 207Q00000X Family Medicine (Licence: TX V2434) | |
| 207Q00000X Family Medicine (Licence: WA MD61560549) | |
| 207Q00000X Family Medicine (Licence: AZ 73652) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-07-15 |