| NPI | 1699905679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: WI 64441-20) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: WA MD60371242) |
| 207Q00000X Family Medicine (Licence: PA MT195296) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2021-01-12 |