NPI | 1932595485 |
---|---|
Former Name | ELIZA CAROLINE FRADKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE C7-00007186) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD464274) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT208953) | |
208000000X Pediatrics (Licence: NJ 25MA10378300) | |
Enumeration Date | 2015-04-11 |
Last Update Date | 2021-09-16 |