NPI | 1154825438 |
---|---|
Former Name | MEGAN REAH CLEGHERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 23845) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23845) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2022-03-29 |