NPI | 1467081182 |
---|---|
Former Name | CALEIGH KENDALL COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U0838) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U0838) |
208000000X Pediatrics (Licence: TX U0838) | |
Enumeration Date | 2020-04-04 |
Last Update Date | 2022-11-20 |