| NPI | 1952492209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2874) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 35224) |
| 207Q00000X Family Medicine (Licence: NC 2019-02554) | |
| 207Q00000X Family Medicine (Licence: MO 2019044234) | |
| 207Q00000X Family Medicine (Licence: MA 281818) | |
| 207Q00000X Family Medicine (Licence: AR E-12711) | |
| 207Q00000X Family Medicine (Licence: LA 321518) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-10-14 |