| NPI | 1629451711 |
|---|---|
| Former Name | KATHLEEN ASHLEY ABAIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D009235) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AZ D009235) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-07-06 |