| NPI | 1003890112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NM 2000-303) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 2000303) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2015-10-29 |