| NPI | 1750459459 |
|---|---|
| Other Name | DALLIN TERESA RANDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 032279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 032279) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |