NPI | 1336631696 |
---|---|
Former Name | MEGAN LESPERANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD473757) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-06-03 |
Last Update Date | 2021-07-26 |