| NPI | 1255661864 |
|---|---|
| Former Name | MEGAN M SORENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 117613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 363L00000X) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2013-09-11 |