| NPI | 1194156828 |
|---|---|
| Former Name | KATHLEEN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA 976) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 53900) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-06 |