NPI | 1033739099 |
---|---|
Former Name | MEGHAN LOUISE SHALVOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405697) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 706711) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 135846) | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2024-06-10 |