| NPI | 1326140047 |
|---|---|
| Other Name | NOT APPLICABLE NONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TN 40054) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A49877) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MS 19266) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TX M3289) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-08-30 |