| NPI | 1457607418 |
|---|---|
| Former Name | NICOLE LYNN WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9193) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9193) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2016-08-22 |