NPI | 1326309113 |
---|---|
Former Name | MEGAN M. GEBHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60302799) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22216) |
363A00000X Physician Assistant (Licence: WA PA60302799) | |
Enumeration Date | 2012-06-07 |
Last Update Date | 2021-11-02 |