| NPI | 1134531254 |
|---|---|
| Former Name | MARY CATHERINE HUCKABY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A136610) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-10-16 |