| NPI | 1235848607 |
|---|---|
| Former Name | MEAGAN MOFFETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2293720) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA Pending) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-01-12 |