| NPI | 1750459459 | 
|---|---|
| Other Name | DALLIN TERESA RANDOLPH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 032279) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 032279) | 
| Enumeration Date | 2006-12-01 | 
| Last Update Date | 2025-09-11 |