| NPI | 1649420969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: PA MD446824) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT193187) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: IN 01069444A) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2016-03-17 |