| NPI | 1306152889 |
|---|---|
| Former Name | MCKINSEE CATHRYN BRODERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 8088273-9922) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59546) |
| 122300000X Dentist (Licence: AK 1361) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2016-12-31 |