NPI | 1548602246 |
---|---|
Former Name | MEGAN A WESLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001552) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005847) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2021-06-23 |