| NPI | 1790128908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 286317) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 286317) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-07-07 |