| NPI | 1427497411 |
|---|---|
| Former Name | NASTASSIA C RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016010210) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101020578) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2023-09-27 |