| NPI | 1932754231 |
|---|---|
| Former Name | KOURTNEY RUMMEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 2431) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D010435) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-07-06 |