| NPI | 1649427451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM R44376) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: NM R44376) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2017-03-20 |