| 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 | 2025-05-21 |