| 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 |