| NPI | 1558561506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: MN 51990) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 51990) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2020-08-18 |