NPI | 1598428872 |
---|---|
Former Name | MEGAN STAFFEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8556) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2392402) |
Enumeration Date | 2021-10-14 |
Last Update Date | 2023-04-19 |