NPI | 1154130326 |
---|---|
Former Name | MEGHAN DANNIELLE BUCKLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 37402) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 37402) |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-08-19 |