| NPI | 1689440588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MS 907779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 913438) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-10-07 |