| NPI | 1063817419 |
|---|---|
| Former Name | MEGAN MENDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00530200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016204) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 339312) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2019-05-21 |