NPI | 1962648832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA09594600) |
Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NY 262636) |
Enumeration Date | 2008-12-26 |
Last Update Date | 2015-02-11 |