NPI | 1497285746 |
---|---|
Former Name | MEGHAN LEIGH MONAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS041651) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-06-19 |
Last Update Date | 2022-02-11 |