NPI | 1720730393 |
---|---|
Former Name | MEGAN GALLEGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61657502) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60311875) |
Enumeration Date | 2022-01-25 |
Last Update Date | 2025-05-11 |