| NPI | 1235511858 |
|---|---|
| Former Name | ELISE MARIE HARTMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DNF000450) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN24440) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-04-13 |