| NPI | 1164626875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: LA 204062) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 204062) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-03-22 |