| NPI | 1902215312 |
|---|---|
| Former Name | WHITNEY ANN SORENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 1001265) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60485041) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2017-02-06 |