NPI | 1174095046 |
---|---|
Former Name | MEGAN NEUBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2354544) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2354544) |
363LF0000X Nurse Practitioner, Family (Licence: DC RN1023749) | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2022-04-03 |