NPI | 1215231196 |
---|---|
Former Name | MEGAN E MILSTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1975) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: ID PA-1975) |
208D00000X General Practice (Licence: ID PA-1975) | |
363AS0400X Physician Assistant Surgical (Licence: AZ 4798) | |
Enumeration Date | 2011-01-06 |
Last Update Date | 2022-07-26 |