NPI | 1134222631 |
---|---|
Former Name | KAMI L WIMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9349) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 11907) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2022-02-08 |