Individual
L. MICHELLE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101252892
VA
208000000X
Pediatrics Physician
32065
CO
208000000X
Pediatrics Physician
Primary
H6062
TX
Other
Enumeration date
02/01/2006
Last updated
01/26/2022
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