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 |