| NPI | 1972124659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD.MD.70034198) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD.MD.70034198) |
| 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: WA MD.MD.70034198) | |
| 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: PA MT230831) | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2025-09-16 |