NPI | 1225624034 |
---|---|
Former Name | MEGAN PAIGE PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 108000) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 108000) |
207RN0300X Internal Medicine Nephrology (Licence: WV 108000) | |
Enumeration Date | 2020-12-15 |
Last Update Date | 2022-03-23 |