NPI | 1639420540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A124934) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09229200) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2019-07-10 |