| NPI | 1801391032 |
|---|---|
| Former Name | MEAGHAN KATHLENE FREDERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.142655) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-01-18 |