| NPI | 1063687630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN 43791) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 43791) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2017-12-14 |