| NPI | 1740208552 |
|---|---|
| Former Name | CAROLYN LOUISE PRESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX N4322) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO 2003014838) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-02-18 |