| NPI | 1720465644 |
|---|---|
| Former Name | MEGAN CARA RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 1015588) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0086685) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2023-07-17 |