NPI | 1578798955 |
---|---|
Former Name | ASHLEY NOEL KILLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 10389) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-05-28 |
Last Update Date | 2015-02-17 |