| NPI | 1740270107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 52773) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 52773) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-08-16 |