NPI | 1346816543 |
---|---|
Former Name | MEAGAN OLIVIA MALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 215976) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AR 215976) |
Enumeration Date | 2021-05-28 |
Last Update Date | 2023-01-26 |