| NPI | 1285124511 |
|---|---|
| Former Name | MEGAN MARGARET SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102205918) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 316772) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-08-18 |