| NPI | 1457515298 |
|---|---|
| Former Name | MARY KATHERINE MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14135) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 14135) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-07-16 |