| NPI | 1093387060 |
|---|---|
| Former Name | MAEGAN FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 260684) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: AZ 260684) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2022-07-01 |