| NPI | 1588607600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: OR MD13619) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD13619) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-12-29 |