NPI | 1831734987 |
---|---|
Former Name | MEGAN JOAN FEEHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8527) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8527) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 8527) | |
Enumeration Date | 2019-11-13 |
Last Update Date | 2023-05-16 |