| NPI | 1275503245 |
|---|---|
| Former Name | MARITA E GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD055509L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA07321700) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NJ 25MA07321700) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: PA MD055509L) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2020-02-27 |