| NPI | 1215194782 |
|---|---|
| Former Name | MEGAN GAIL GROFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA R-08726) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT192942) |
| 208600000X Surgery (Licence: CA A-117441) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2017-06-12 |