NPI | 1497926232 |
---|---|
Former Name | MEGHAN MARIE ROUTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 09968) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 09968) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2019-05-01 |