| NPI | 1003171158 |
|---|---|
| Former Name | MEGAN L. DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX Q6175) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R73360) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2017-08-08 |