| NPI | 1144588963 |
|---|---|
| Former Name | CAITLIN WALLACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 65764) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8781046-1205) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2016-10-11 |