| 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 |