| NPI | 1386625135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N8620) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 38004) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX N8620) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2011-12-05 |