| NPI | 1215754999 |
|---|---|
| Former Name | MEGAN BLANCHE YATTAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F356508) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2025-04-07 |