NPI | 1780115683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NM MD2019-0888) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: NY 314419) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-09-26 |