| NPI | 1649333626 |
|---|---|
| Former Name | KIMBERLY GOLDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MA 237814) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 237814) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-09-27 |