| NPI | 1528339512 |
|---|---|
| Former Name | MEGAN PHARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 01609) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 549) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2023-02-02 |