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 |