| NPI | 1679903835 |
|---|---|
| Former Name | CATHERINE CARLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414267) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 30572) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2023-08-15 |