| NPI | 1932586336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0058817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 95966) |
| 207Q00000X Family Medicine (Licence: WI 3086-320) | |
| 207Q00000X Family Medicine (Licence: IN 01090384A) | |
| 207Q00000X Family Medicine (Licence: FL TPME6151) | |
| 207Q00000X Family Medicine (Licence: TX U4696) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-11-17 |