| NPI | 1558657577 |
|---|---|
| Former Name | COLLEEN CATHERINE CAULFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 10737) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2012-09-18 |