NPI | 1801360417 |
---|---|
Former Name | MEGAN VICTORIA DELANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 248389) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174135) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2020-11-05 |