NPI | 1144725821 |
---|---|
Former Name | MEGAN SUE HAMILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 311070) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-26 |
Last Update Date | 2023-09-28 |