| NPI | 1558716860 |
|---|---|
| Former Name | MEGAN E DEFROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704254582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704254582) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-11-10 |