| NPI | 1013180595 |
|---|---|
| Former Name | TERRA NICOLE CROTTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2006016921) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 4484) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TN 4484) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2021-12-17 |