| NPI | 1053815068 |
|---|---|
| Former Name | KATHLEEN SALT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.145693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME150220) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-01-05 |