| NPI | 1225322183 |
|---|---|
| Former Name | DIANA GRACE NEWSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 010127929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A150668) |
| 208000000X Pediatrics (Licence: MD D0077878) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-12-21 |