| NPI | 1477867703 |
|---|---|
| Former Name | KATHLEEN MARY WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH11340) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 3466) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |