NPI | 1043688898 |
---|---|
Former Name | MEGAN STANTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-09-10 |
Last Update Date | 2024-02-15 |