NPI | 1740633841 |
---|---|
Former Name | MEGAN NICOLE MCCONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: DC AA000137) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA360) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2022-12-16 |