| NPI | 1700171303 |
|---|---|
| Former Name | MARY KATHERINE SKAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.024188) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2011016747) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2019-07-03 |