| NPI | 1205806601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: AZ 19576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 19576) |
| 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MN 27910) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-04-15 |