| NPI | 1811277130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD454740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 267303) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2021-06-03 |