| NPI | 1033460191 |
|---|---|
| Former Name | MEGAN JOAN BORGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11225) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 11225) |
| 363AM0700X Physician Assistant, Medical (Licence: MN 11225) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2019-08-05 |