NPI | 1265422109 |
---|---|
Former Name | MEGAN P FITZGERALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2490-033) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 2490-033) |
Enumeration Date | 2005-10-23 |
Last Update Date | 2013-08-12 |