| NPI | 1619772670 |
|---|---|
| Former Name | MEGAN SHOTWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IA 138456) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |