| 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 |