| NPI | 1164787610 |
|---|---|
| Other Name | MEG MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031546) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03573) |
| 363A00000X Physician Assistant (Licence: MA PA5667) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2022-08-05 |