NPI | 1861847626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA 2023154) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA 130463) |
Enumeration Date | 2016-04-29 |
Last Update Date | 2024-08-27 |