NPI | 1265032528 |
---|---|
Former Name | MEAGHAN KIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2330123) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2330123) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2330123) | |
Enumeration Date | 2020-10-27 |
Last Update Date | 2023-12-01 |