| NPI | 1609239243 |
|---|---|
| Former Name | MEGAN ELIZABETH MIDKIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.152057) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-07-31 |