NPI | 1578841557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 2013140) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257442) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2024-12-06 |