| NPI | 1770350019 |
|---|---|
| Former Name | MEGAN MAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WY 51129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 51129) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-05-06 |