NPI | 1417342205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101277112) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0062530) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2025-01-14 |