NPI | 1780271916 |
---|---|
Former Name | MEGAN CHRISTINE DEWEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61133370) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60157776) |
Enumeration Date | 2020-12-22 |
Last Update Date | 2021-07-02 |