| NPI | 1932691920 |
|---|---|
| Former Name | ADRIENNE M RUNGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013423A) |
| Additional Taxonomies | 122300000X Dentist (Licence: NH 04409) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-01-04 |