NPI | 1730500265 |
---|---|
Former Name | MEGHAN L FRALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2013045538) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 1501669) |
Enumeration Date | 2013-12-31 |
Last Update Date | 2025-01-15 |