NPI | 1386088516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: NM MD2017-0624) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2017-0624) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2022-07-21 |