NPI | 1619014206 |
---|---|
Former Name | MEGAN ELIZABETH JESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167658) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD N58975) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2010-12-29 |