| NPI | 1548405533 |
|---|---|
| Former Name | MEGAN ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601005452) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601005452) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2021-11-16 |