| NPI | 1093896045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY3454) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015457) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CO 3454) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-11-12 |