| NPI | 1720461734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: GA 85978) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME140979) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-09-16 |