| NPI | 1780174078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: GA 90076) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.245501) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2025-07-28 |