| NPI | 1265744148 |
|---|---|
| Former Name | MEGAN LARISSA COPLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 03601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116022973) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-09-23 |