| NPI | 1730560376 |
|---|---|
| Former Name | MEGAN LOGSDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01080125A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-066465) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2022-05-18 |