| NPI | 1336295047 |
|---|---|
| Former Name | MARY KATHERINE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22453) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |