| NPI | 1912044918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MN 29543) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 29543) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-09-17 |