NPI | 1003268210 |
---|---|
Former Name | MEGAN E SPURLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1195) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1634) |
Enumeration Date | 2016-07-12 |
Last Update Date | 2021-05-12 |