| NPI | 1619913001 |
|---|---|
| Former Name | DEVONNE A MULLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01064284A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01064284A) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01064284) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IN 01064284) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-03-14 |