| NPI | 1396326864 |
|---|---|
| Former Name | MEGAN RENEE ROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011283A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28201161A) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-05-10 |