| NPI | 1811991342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 22874) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: NC 36463) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-05-04 |