| NPI | 1073119285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 8615809-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 8615809-4405) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2024-09-27 |