| NPI | 1790033777 |
|---|---|
| Former Name | KATHRYN THAMA STROUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 8360) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028771) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2022-07-21 |