| NPI | 1790976108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3626) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 3626) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-03-09 |