| NPI | 1982083713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A15275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM DO2023-1016) |
| 207Q00000X Family Medicine (Licence: TX R9740) | |
| 207Q00000X Family Medicine (Licence: IL 036.161757) | |
| 207Q00000X Family Medicine (Licence: NC 2022-03356) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2026-02-02 |