| NPI | 1134621584 |
|---|---|
| Former Name | MEAGHAN EILEEN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RTO000096) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |