| NPI | 1699207944 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: SC 94690) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 323519) | 
| 207QS1201X Family Medicine, Sleep Medicine (Licence: LA 323519) | |
| Enumeration Date | 2017-03-28 | 
| Last Update Date | 2025-07-07 |