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 |