| NPI | 1588242556 |
|---|---|
| Former Name | JACLYN SLATTERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 9558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 341305) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-04-29 |