| NPI | 1649365537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-28951) |
| Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine (Licence: KS 0428951) |
| 207QS1201X Family Medicine Sleep Medicine (Licence: MO 104177) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-02-02 |