NPI | 1225626096 |
---|---|
Former Name | MEGAN ELIZABETH JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-11502) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-01-06 |
Last Update Date | 2025-03-13 |