| NPI | 1477596534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: ID M6380) |
| Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine (Licence: OK 34507) |
| 207QS1201X Family Medicine Sleep Medicine (Licence: WA 60104935) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-01-26 |