| NPI | 1114004579 |
|---|---|
| Former Name | MIKELLE LOUELLA KUEHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: WA MD60797389) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: GA DN012237) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-02-17 |