| NPI | 1366602013 |
|---|---|
| Former Name | KYLE MICHELE PLATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 27224) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027645) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2018-11-30 |