| NPI | 1124456124 |
|---|---|
| Former Name | MEGHAN ELIZABETH MCCOOEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01609) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107576) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2023-09-07 |