| NPI | 1770678526 |
|---|---|
| Former Name | HEATHER MICHELLE HUNTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 7348) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 7293) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |