NPI | 1598015091 |
---|---|
Former Name | MEGHAN MCGOWAN DWYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R200417) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1016551) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2013-06-05 |