| NPI | 1093134413 |
|---|---|
| Former Name | CAITLIN COLLEEN GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-56360) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2019-02-19 |