| 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 | 2025-01-21 |