| NPI | 1821282948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: NC 2008-00550) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245660) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2012-11-14 |