| NPI | 1538302021 |
|---|---|
| Former Name | PETRA KAYE WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME112066) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2025-01-24 |