NPI | 1073564340 |
---|---|
Former Name | SHOSHANA TROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA04653700) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD032689E) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2015-07-07 |