NPI | 1235753211 |
---|---|
Former Name | MEGAN THACKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301513943) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 8728) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2025-08-07 |