NPI | 1194154989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: UT 12985834-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A156177) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2022-12-11 |