| NPI | 1346719093 |
|---|---|
| Former Name | MEGAN E. GALLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 4579) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4579-23) |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2021-05-05 |