NPI | 1659403061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NJ 25 MA061205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25 MA06120500) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2022-01-27 |