| NPI | 1205147196 |
|---|---|
| Former Name | MEGAN RENEE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP11548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11548-NP) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-07-28 |