NPI | 1083962401 |
---|---|
Former Name | MEGAN M SOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA B129015) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 129015) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2018-03-27 |