NPI | 1154448033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: FL ME167392) |
Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MA 245838) |
208000000X Pediatrics (Licence: PR 16442) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2024-05-17 |