| NPI | 1508980376 |
|---|---|
| Former Name | MEREDITH PROFETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MI 4301085638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085638) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-09-22 |