| NPI | 1265811202 |
|---|---|
| Former Name | MEGAN WALLACE DENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22604) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9310990) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2022-06-28 |