| NPI | 1043621238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME132303) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: FL 132303) |
| Enumeration Date | 2014-05-11 |
| Last Update Date | 2020-12-16 |