NPI | 1780925362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 7785) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04192) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2022-02-08 |