| NPI | 1487780458 |
|---|---|
| Former Name | WENDY K HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 7980) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 7980) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2014-11-04 |