| NPI | 1598170219 |
|---|---|
| Former Name | MEGAN L SOPKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34012697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-012697) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-07-20 |