NPI | 1841440864 |
---|---|
Former Name | MEGHAN LAWLESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MN 10506) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 10506) |
Enumeration Date | 2008-09-26 |
Last Update Date | 2022-07-27 |