| NPI | 1891282976 |
|---|---|
| Former Name | KAITLIN NOWLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 11966) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 390200000X) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2020-09-27 |