| NPI | 1649556218 |
|---|---|
| Former Name | MEGAN MARIE TALBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003453RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 552) |
| 363A00000X Physician Assistant (Licence: OH 50.003453) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2021-10-06 |