NPI | 1124416292 |
---|---|
Former Name | MEGHAN MCADOREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60729780) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005602) |
Enumeration Date | 2014-12-24 |
Last Update Date | 2018-01-31 |