| NPI | 1679992580 |
|---|---|
| Other Name | CATHERINE CORBETT QUALLS - DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 103202441204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP61025252) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-06-12 |