NPI | 1407191513 |
---|---|
Former Name | MEGAN E PLUMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02693) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC PA 1863) |
363A00000X Physician Assistant (Licence: TX PA09685) | |
Enumeration Date | 2012-11-29 |
Last Update Date | 2024-11-05 |