| NPI | 1811574692 |
|---|---|
| Former Name | MEGAN SEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003513A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC117) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-09-06 |