NPI | 1225414378 |
---|---|
Former Name | MEGAN LYNN SCULLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 270701) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95002054) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2018-11-30 |