| NPI | 1780930701 |
|---|---|
| Former Name | KRISTEN FROMMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9424) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9424) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2022-02-09 |