| NPI | 1972828952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A124778) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2019-02494) |
| 207Q00000X Family Medicine (Licence: AK 139578) | |
| 207Q00000X Family Medicine (Licence: HI MD-20097) | |
| 207Q00000X Family Medicine (Licence: FL ME138778) | |
| 207Q00000X Family Medicine (Licence: GA 082074) | |
| 207Q00000X Family Medicine (Licence: NM MD2018-0956) | |
| 207Q00000X Family Medicine (Licence: OR MD186878) | |
| 207Q00000X Family Medicine (Licence: OH 35.138148) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2023-01-19 |