| NPI | 1265102644 |
|---|---|
| Former Name | MEGAN MCKAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010744) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-01-17 |