| NPI | 1033439542 |
|---|---|
| Former Name | MEAGAN LEE BODELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003186A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28162119A) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2024-02-19 |