NPI | 1508182999 |
---|---|
Former Name | MEGAN TERREBONNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56413) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-04-11 |
Last Update Date | 2016-05-03 |