| NPI | 1639661895 |
|---|---|
| Former Name | MARTINA SIEKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 100182115) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 1001821-15) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-02-21 |