| NPI | 1700410867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: GA 20181041) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 20181041) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |