NPI | 1063711729 |
---|---|
Former Name | RACHEL ISABEL COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10312100) |
Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NJ 25MA10312100) |
2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: RI LP03402) | |
Enumeration Date | 2011-03-21 |
Last Update Date | 2018-11-01 |