| NPI | 1710530217 |
|---|---|
| Former Name | KIMBERLY ANNE CROWLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1002157-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 1002157-15) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-11-24 |