NPI | 1639778681 |
---|---|
Former Name | MEGAN SUSANNE FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OR 202201728NP-PP) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.0027873) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2024-03-04 |