| NPI | 1215181029 |
|---|---|
| Former Name | MEGAN MARIE CLUTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MT 51046) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: CA A125052) | |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2022-01-18 |