NPI | 1922529908 |
---|---|
Former Name | CAROLINE ELIZABETH KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10681) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 10681) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2022-08-09 |