| NPI | 1487772794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA PSY6562) |
| Additional Taxonomies | 173F00000X Sleep Specialist, PhD (Licence: CA PSY6562) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-02-01 |