| NPI | 1205263589 |
|---|---|
| Former Name | MEGAN LYNN PETERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016161) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016161) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 200816179) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-01-17 |