| NPI | 1184055220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PR 19405) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 19405) |
| 174400000X Specialist (Licence: PR 29414-R) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2023-08-21 |