| NPI | 1851968143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 4301512275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351048314) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-08-04 |