| NPI | 1821182296 |
|---|---|
| Former Name | MARY B DENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R119628-5) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM R44402) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-09-23 |