| NPI | 1457038739 |
|---|---|
| Former Name | KATE ELIZABETH DURHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 10933) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10933) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 10933) | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-04-25 |