| NPI | 1992062582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CT 55655) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 55655) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-10-10 |