| NPI | 1225550726 |
|---|---|
| Former Name | MEGHAN THERESE OROURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1396) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020918) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2019-12-13 |