NPI | 1780003772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: KY 50344) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 50344) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2021-10-14 |