NPI | 1093565194 |
---|---|
Former Name | MEGAN E TEEHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 125084506) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-03-25 |
Last Update Date | 2024-06-13 |