| NPI | 1760795827 |
|---|---|
| Former Name | MEGAN REBECCA BLUMANTHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050128NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201050128NP) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2017-02-20 |