| NPI | 1164229605 |
|---|---|
| Former Name | KATHERINE MACLELLAN GOTHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS044996) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN123173) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |