NPI | 1780145383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NJ 25MB11912100) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB11912100) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2023-09-13 |