| NPI | 1609178805 |
|---|---|
| Former Name | MEGAN L. PADUCHOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2011-09-14 |