| NPI | 1730644824 |
|---|---|
| Former Name | MEGAN RACHELLE VALLANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3015539) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-153253) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3015539) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2021-02-01 |