| NPI | 1447663976 |
|---|---|
| Former Name | MEGAN MARIE CZYZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R182536) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R182536) |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000851) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-10-06 |