| NPI | 1588196463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD61300233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S9925) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: WA MD61300233) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX S9925) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-09-29 |