| NPI | 1700631074 |
|---|---|
| Former Name | MEGAN K ULMANIS |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041450880) |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-11-01 |