NPI | 1467926303 |
---|---|
Former Name | ALLISON MORGAN FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA PHDH001048) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH072907) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2023-05-04 |