| NPI | 1790915775 |
|---|---|
| Former Name | MEAGHAN KELLY RATHVON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012598) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2019-03-06 |