NPI | 1811381080 |
---|---|
Former Name | MEAGAN SEBRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T8083) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60770463) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2023-08-15 |