| NPI | 1982005575 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2020-02423)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2020-02423)  | 
| Enumeration Date | 2014-09-15 | 
| Last Update Date | 2022-04-06 |