| NPI | 1760809800 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NC 2018-00038)  | 
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: WV 29374)  | 
| Enumeration Date | 2014-03-26 | 
| Last Update Date | 2025-06-22 |