| NPI | 1700447778 |
|---|---|
| Former Name | MEGAN SIERRA MOBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61424415) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351045057) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-09-13 |