| NPI | 1184297632 |
|---|---|
| Former Name | MEGAN G VANDERWIELEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 240526) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-07-27 |