| NPI | 1477767440 |
|---|---|
| Professional Name | KIMBERLY ANN BAUCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 6809) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45354) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |