NPI | 1184361644 |
---|---|
Former Name | MEGHAN E KRAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348261-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 662412-01) |
Enumeration Date | 2022-05-17 |
Last Update Date | 2022-05-17 |