NPI | 1225345457 |
---|---|
Former Name | MAEGAN ANN MENESES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 020549-1) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
Enumeration Date | 2010-09-09 |
Last Update Date | 2024-04-08 |