| NPI | 1013424738 |
|---|---|
| Former Name | MEAGAN A FAULK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114025) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL4248) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2025-03-26 |