Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 99126 |
NPI | 1639157886 |
---|---|
Provider Name | Dr. Gabriele Richard |
First Address | Gaithersburg, MD 20877-2142 |
Second Address | Gaithersburg, MD 20877-2142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 08/07/2007 |