| NPI | 1316465545 |
|---|---|
| Former Name | MEGAN LYNN SOUCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061563) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-11-09 |