| NPI | 1700173895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MN 67525) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116023337) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2024-02-22 |