| NPI | 1427430388 |
|---|---|
| Former Name | MEAGAN POTRATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 018763) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2021-07-13 |