| NPI | 1174582415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: UT 10438184-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD419119) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-11-20 |