| NPI | 1861808487 |
|---|---|
| Former Name | MCKENNA ASHLI RHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6232) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 6232) |
| 1223G0001X Dentist, General Practice (Licence: TX 30262) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2019-02-07 |