| NPI | 1710293022 |
|---|---|
| Former Name | KATHERINE MICHELLE POKRAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59513) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59513) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2015-03-03 |