| NPI | 1043328115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G85862) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G85862) |
| 208000000X Pediatrics (Licence: CA G85862) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-02-24 |