NPI | 1407141385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NJ 25MB10095700) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101022105) |
207Q00000X Family Medicine (Licence: PA ot014092) | |
207Q00000X Family Medicine (Licence: PA os016378) | |
Enumeration Date | 2011-06-18 |
Last Update Date | 2022-08-31 |