NPI | 1528250131 |
---|---|
Former Name | MEGAN ELIZABETH LEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD164511) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036118322) |
207Q00000X Family Medicine (Licence: KS 04-34032) | |
207Q00000X Family Medicine (Licence: VA 0101243296) | |
Enumeration Date | 2007-08-16 |
Last Update Date | 2021-03-22 |