NPI | 1396304531 |
---|---|
Former Name | MEAGHAN LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344418) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674243) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2023-07-03 |