| NPI | 1063700250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: FL ME96685) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME96685) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2021-09-27 |