| NPI | 1164757738 |
|---|---|
| Former Name | PAULINE CENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD20929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0011870) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2023-10-25 |