| NPI | 1366748162 |
|---|---|
| Former Name | MEGAN LEIGH GLEASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KY 53835) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2020-08-31 |