| NPI | 1114217502 |
|---|---|
| Former Name | MEGAN JEAN BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NV 16307) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD167058) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-02-13 |