| NPI | 1609256064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 4301117121) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301117121) |
| 208000000X Pediatrics (Licence: MI 4301107815) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-06-10 |