NPI | 1760818629 |
---|---|
Former Name | MEGAN CHRISTINE MANOLOPOULOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60374857) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60374857) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2023-08-23 |