| NPI | 1053847129 |
|---|---|
| Former Name | MARY MEGAN MASSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 0000065798) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2024-08-13 |