Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 8260 | KY |
NPI | 1134212855 |
---|---|
Provider Name | Dr. Jolanta Sauer |
First Address | Louisville, KY 40241-0001 |
Second Address | Louisville, KY 40241-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 07/10/2010 |