NPI | 1245767458 |
---|---|
Former Name | MEGHAN ELIZABETH DAIGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 06447323) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006614) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2297081) | |
Enumeration Date | 2017-05-18 |
Last Update Date | 2022-05-25 |