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 |