| NPI | 1427314160 |
|---|---|
| Former Name | DIANE ISAACSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D88487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09651600) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2022-06-24 |