| NPI | 1023114592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: NJ MA63463) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA63463) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-04-25 |