| NPI | 1942498159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A130678) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2024037738) |
| 207Q00000X Family Medicine (Licence: TN 72259) | |
| 207Q00000X Family Medicine (Licence: VI 4050) | |
| 207Q00000X Family Medicine (Licence: WI 5166320) | |
| 207Q00000X Family Medicine (Licence: IL ae38738983415) | |
| 207Q00000X Family Medicine (Licence: AR e18798) | |
| 207Q00000X Family Medicine (Licence: TX s7763) | |
| 207Q00000X Family Medicine (Licence: IN 01095309A) | |
| 207Q00000X Family Medicine (Licence: OK 44224) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2026-04-18 |