NPI | 1437801263 |
---|---|
Former Name | MEGHAN ELIZABETH SCHNECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA063335) |
Enumeration Date | 2022-01-23 |
Last Update Date | 2024-12-23 |