| NPI | 1184289399 |
|---|---|
| Former Name | THERESA CHRISTINE HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0025355) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DE C1-0025355) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-10-10 |