| NPI | 1194034694 |
|---|---|
| Former Name | MEGHAN MARY BISSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057013) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02462) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2015-02-23 |