| NPI | 1780127563 |
|---|---|
| Former Name | MEGAN ELIZABETH MARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22047) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2022-07-21 |