NPI | 1700106002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 55185) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244480) |
207R00000X Internal Medicine (Licence: NY 269488) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MT208015) | |
Enumeration Date | 2010-06-09 |
Last Update Date | 2016-04-26 |