| 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 |