NPI | 1487354460 |
---|---|
Former Name | MEGAN ELIZABETH THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-03-07 |
Last Update Date | 2024-07-19 |