| NPI | 1346662152 |
|---|---|
| Former Name | MEAGAN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9305658) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2290599) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2023-03-13 |