NPI | 1790116028 |
---|---|
Former Name | MEGAN NICOLE BOYKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20297) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18158) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2020-11-11 |