NPI | 1063953784 |
---|---|
Former Name | MEGAN K JUSTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 242T00000X Perfusionist |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 196715) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2019-04-05 |