NPI | 1013348325 |
---|---|
Former Name | MEGAN MARIE FOODY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011086) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011086) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2024-08-08 |