| NPI | 1548759962 |
|---|---|
| Former Name | MEAGAN DORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 14-120733-101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2008003730) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |