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 |