| NPI | 1366434177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301044797) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 4301044797) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2012-02-01 |