| NPI | 1164257564 |
|---|---|
| Former Name | MEGAN TRIPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 92144) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-12-03 |