| NPI | 1467067967 |
|---|---|
| Former Name | VASHTI ECKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: IL 019.034253) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OR D11329) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-07-28 |