NPI | 1356308563 |
---|---|
Former Name | MEGAN RACHAEL RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 008319) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 008319-1) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2021-02-12 |