| NPI | 1184291585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: KY 61015) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 12897) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2025-07-21 |