| NPI | 1619015575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 45091) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VT 0420011690) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 0600003426) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 45091) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-07-20 |