| NPI | 1689123119 |
|---|---|
| Former Name | MEGAN NEWKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016607) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016607) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2022-10-03 |