NPI | 1598271983 |
---|---|
Former Name | MEGAN C BURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059690) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: PA RT004423) |
363AM0700X Physician Assistant, Medical (Licence: PA MA059690) | |
Enumeration Date | 2017-12-20 |
Last Update Date | 2025-03-21 |