NPI | 1043632367 |
---|---|
Former Name | MEGAN PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 218589) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN134330) |
Enumeration Date | 2014-01-07 |
Last Update Date | 2021-03-23 |