NPI | 1083076566 |
---|---|
Former Name | MEGAN OBLACZYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD466744) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-03-24 |
Last Update Date | 2019-07-02 |