| NPI | 1083134928 |
|---|---|
| Former Name | MEGAN RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021836) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-02-09 |