| NPI | 1457797961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60745494) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA 60745494) |
| 208000000X Pediatrics (Licence: WA 60745494) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2020-02-13 |