| NPI | 1083059034 |
|---|---|
| Former Name | MEGAN C MCGOVERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5339-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 175304-30) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2015-12-30 |