NPI | 1144719006 |
---|---|
Former Name | MEGAN FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-00560) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-00560) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 239414) | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2022-10-18 |