NPI | 1912952417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA07289900) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ 25MA07289900) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 128013) | |
2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NY 128013) | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2017-05-05 |