| NPI | 1356917710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 5151016522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125078301) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-07-07 |