| NPI | 1164798724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NC 202102820) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 202102820) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: MD D86102) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: VA 0101261033) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-02-05 |