| NPI | 1497916746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QG0250X Clinic/Center, Genetics |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |