| NPI | 1942206396 |
|---|---|
| Former Name | ALICIA VALERIUS THOGMARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J0309) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX J0309) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-03-22 |