| NPI | 1558775486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: WA 61470679) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 9408481) |
| 207QS1201X Family Medicine Sleep Medicine (Licence: CO DR.0066683) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-12-05 |