| NPI | 1134493695 |
|---|---|
| Other Name | KALISHA NELSON HANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6724) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 6724) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2024-09-19 |