| NPI | 1932786118 |
|---|---|
| Former Name | SERENA BETH MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME168338) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME168338) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-06-21 |