NPI | 1497132658 |
---|---|
Former Name | MEGAN COLLEEN EHLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME147837) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-27 |
Last Update Date | 2020-11-20 |