NPI | 1770051666 |
---|---|
Former Name | MEGAN COWLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA-14721) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2018-051) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2021-12-29 |