| NPI | 1407112394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q8530) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX Q8530) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2016-08-02 |