| NPI | 1730718495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102206896) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: VA 0102206896) |
| 208D00000X General Practice (Licence: VA 0102206896) | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2024-10-20 |