| NPI | 1649893546 |
|---|---|
| Former Name | MEGAN HEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 15-02792) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MO 2021042651) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-08-22 |