| NPI | 1760679351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 28332) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: AL 28332) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2019-10-08 |