| NPI | 1740600402 |
|---|---|
| Former Name | CATHERINE DAVIS SHOLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 83694) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NE 28923) |
| 208000000X Pediatrics (Licence: NE 28923) | |
| 208D00000X General Practice (Licence: NE 28923) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-03-14 |