NPI | 1235796756 |
---|---|
Former Name | MEGAN JANE POIRIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 024285) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 24285) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-10-11 |