| NPI | 1174811533 |
|---|---|
| Former Name | MEGAN ASHLEY ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 258656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011016826) |
| 208000000X Pediatrics (Licence: MA 258656) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-03-10 |