NPI | 1386140259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: VA 0102207289) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102207289) |
Enumeration Date | 2018-04-01 |
Last Update Date | 2023-06-30 |