NPI | 1174520167 |
---|---|
Former Name | MEGAN N PARHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11038) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1654) |
363AS0400X Physician Assistant, Surgical (Licence: OH 2244) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2022-01-10 |