NPI | 1487003208 |
---|---|
Former Name | MEGAN OBLONSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 65689) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004199) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2023-05-30 |