| NPI | 1235578840 |
|---|---|
| Former Name | MELISSA RADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE C7-0006480) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09937800) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2017-08-27 |