| 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 |