| NPI | 1518259464 |
|---|---|
| Former Name | TASIA NICOLE HALADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61102534) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD178546) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-02-11 |