| NPI | 1912920620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME64928) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: FL ME64928) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-06-16 |