| NPI | 1194352732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NC 2023-00704) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL84350) |
| 207Q00000X Family Medicine (Licence: NC 2023-00704) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-05-09 |