| NPI | 1023432093 |
|---|---|
| Former Name | MEGAN NOEL DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006761RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH Pending) |
| 363AM0700X Physician Assistant, Medical (Licence: WV 1699) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2020-11-25 |