| NPI | 1659717148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN 54641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 54641) |
| 208000000X Pediatrics (Licence: TN 54641) | |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2024-01-10 |