| NPI | 1609008648 |
|---|---|
| Former Name | KELLEY ANNE ELTRINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS037967) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS037967) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2022-02-21 |