| NPI | 1790102788 |
|---|---|
| Former Name | KATELYN NEELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: KY 55729) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 55729) |
| 208000000X Pediatrics (Licence: IN 01079254A) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01079254A) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 56397) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-12-02 |