| 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 | 2025-07-29 |