| NPI | 1013348655 |
|---|---|
| Former Name | MEGAN ELIZABETH MESSICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004210RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.004210) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2021-04-16 |