| NPI | 1215420120 |
|---|---|
| Former Name | ERIKA L SCHWANKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7486) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 105414) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2020-08-31 |