| NPI | 1194262139 |
|---|---|
| Former Name | MEAGAN O'HARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7465) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015349) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |