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 |