NPI | 1578864104 |
---|---|
Former Name | MEGAN LEIGH BEHRMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704315303) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003404A) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28168153A) | |
Enumeration Date | 2010-11-12 |
Last Update Date | 2016-03-10 |