| NPI | 1255733051 |
|---|---|
| Former Name | MEGAN CHRISTINE HAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005978) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C07693) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-12-15 |