| NPI | 1114066867 |
|---|---|
| Former Name | MEGAN PLATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-00853) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052822) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-01-21 |