| NPI | 1770565855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 72236) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 72236) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-11-15 |