| NPI | 1366799454 |
|---|---|
| Former Name | HILLARY JEAN SCHWAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0401413706) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401413706) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-08-09 |