| NPI | 1760909329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX V4645) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX V4645) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2025-08-06 |