| NPI | 1013368695 |
|---|---|
| Former Name | MEGAN M DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012654A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030770) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2020-03-05 |