| NPI | 1669466280 |
|---|---|
| Former Name | COLEEN BARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-2596) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 4503) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2016-12-19 |