NPI | 1346728433 |
---|---|
Former Name | MEGAN FAITH GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24475) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 24475) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2022-03-22 |