| NPI | 1770734725 |
|---|---|
| Former Name | PATRICIA N OSMUNDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36183) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 11192) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2021-04-02 |