NPI | 1053758862 |
---|---|
Former Name | MEGAN MICHELLE GAUNTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP124270) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 750927) |
363LN0000X Nurse Practitioner, Neonatal (Licence: TX 750927) | |
Enumeration Date | 2013-06-03 |
Last Update Date | 2020-12-10 |