| NPI | 1942598032 |
|---|---|
| Former Name | PATRICIA JENNY BERTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 10506) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2011017534) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-29 |