| NPI | 1720672132 |
|---|---|
| Professional Name | ELLYN MARIE HARPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401417155) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 4483) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |