| NPI | 1639581598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD460095) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MT206934) |
| 208000000X Pediatrics (Licence: PA MT206934) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-06-26 |