| NPI | 1104172584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MN 63019) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 4301101328) |
| 208000000X Pediatrics (Licence: MI 4301101328) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-04-16 |