NPI | 1699172825 |
---|---|
Former Name | MEGAN TURCHECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09528) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 0010-09528) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT005304) | |
Enumeration Date | 2014-12-03 |
Last Update Date | 2022-05-05 |