| NPI | 1780625368 |
|---|---|
| Former Name | CAROL A KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: MO 2003001997) |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: KS 04-29630) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-12-04 |