NPI | 1801107974 |
---|---|
Former Name | MEGAN ENGLAR ANDREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-11552) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-1117) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 2013-01562) | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2020-07-14 |