| NPI | 1578841334 |
|---|---|
| Former Name | MEGAN BRIDGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001003002) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001270A) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2020-09-22 |