NPI | 1487988580 |
---|---|
Former Name | KATHLEEN LINDSAY MCKAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-5610) |
Additional Taxonomies | 122300000X Dentist (Licence: WA 60106324) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2025-02-27 |