NPI | 1609109818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA09119500) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 253773) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2017-05-03 |