NPI | 1609194976 |
---|---|
Former Name | MEGAN MCKINLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007180) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28180958) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2023-05-04 |