| 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 |