Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | D80751 | MD |
NPI | 1700226636 |
---|---|
Provider Name | Nara Lygia De Macena Sobreira |
First Address | Baltimore, MD 21264-4316 |
Second Address | Baltimore, MD 21205-1832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2013 |
Last Update Date | 12/02/2016 |