| NPI | 1861694804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: TX M6305) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301093356) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2025-06-06 |