| NPI | 1174186506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A190840) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD483218) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2026-09-29 |