| NPI | 1699207944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: LA 323519) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 323519) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-04-06 |