| NPI | 1063749141 |
|---|---|
| Former Name | MEGAN R ODEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008200) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 085003616) |
| 363A00000X Physician Assistant (Licence: DC PA031506) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2021-12-22 |