NPI | 1104238468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR DO186910) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 61950) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2021-11-19 |