| NPI | 1700946050 | 
|---|---|
| Former Name | MEGHAN PODLISKA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11028910)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R139945)  | 
| Enumeration Date | 2006-12-09 | 
| Last Update Date | 2024-05-13 |