| NPI | 1700174927 |
|---|---|
| Former Name | CATHERINE ELIZABETH PECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS039337) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 6294) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2019-06-12 |