| NPI | 1750599494 |
|---|---|
| Former Name | KATHRYN PAVLETIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019020294) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019020294) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-05-13 |