NPI | 1396208419 |
---|---|
Former Name | ODELYA HARTUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 320307) |
Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CT 75435) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2025-10-03 |