| NPI | 1417390873 |
|---|---|
| Former Name | MEGAN O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2020-0186) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D83733) |
| 207N00000X Dermatology (Licence: DC MTL001732) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2022-01-27 |