| NPI | 1124598982 |
|---|---|
| Former Name | CAROLYN FRANCES MEIGHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-09289) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 0010-09289) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2021-01-20 |