Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME38451 | FL |
NPI | 1003133802 |
---|---|
Provider Name | Dr. Kathleen Muller |
First Address | Palm Beach Gardens, FL 33418-6026 |
Second Address | Stuart, FL 34994-5060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 03/05/2010 |