| NPI | 1740642123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD471047) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD471047) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-07-07 |