| NPI | 1720579774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MA 291531) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD474886) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2026-03-13 |