NPI | 1811243009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 32596) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 13720) |
207Q00000X Family Medicine (Licence: ND RL12287) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 32596) | |
Enumeration Date | 2012-07-25 |
Last Update Date | 2018-10-01 |