| NPI | 1437896131 |
|---|---|
| Former Name | HANNAH JEFFRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: TN 11916) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 11916) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-08-22 |