| NPI | 1235643040 |
|---|---|
| Former Name | MEGAN M BOGEMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37003189A) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86081427) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2020-12-10 |