| NPI | 1932296589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: MS 10284) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MS 10284) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MS 10284) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-09-03 |