| NPI | 1851331326 |
|---|---|
| Other Name | KELLY PETERS HALLIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19589) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 10036) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-05-20 |