| NPI | 1497919468 |
|---|---|
| Former Name | MEGAN NICOLE WUNDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D112878) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 112878) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2010-05-24 |