| NPI | 1215413216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD464698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10415600) |
| 207Q00000X Family Medicine (Licence: TX T8938) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: NJ 25MA10415600) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: TX T8938) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-08-28 |