| NPI | 1306589452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: KS 04-53894) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA 201447) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2026-08-20 |