| NPI | 1982655247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 48743) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 89178) |
| 207Q00000X Family Medicine (Licence: KY C0279) | |
| 207Q00000X Family Medicine (Licence: NE 33616) | |
| 207Q00000X Family Medicine (Licence: VT 042.0015381-COMP) | |
| 207Q00000X Family Medicine (Licence: OK 38444) | |
| 207Q00000X Family Medicine (Licence: MS 28997) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-08-19 |