NPI | 1811381114 |
---|---|
Former Name | MEGHAN ELIZABETH HASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 1001511-15) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-24 |
Last Update Date | 2023-02-07 |