NPI | 1396274049 |
---|---|
Former Name | MEGAN MCMAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201605984NP-PP) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: OR 201606021CNS-PP) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |