| NPI | 1518351741 |
|---|---|
| Former Name | MARY CATHARINE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME158654) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7420) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-07-21 |