NPI | 1841454469 |
---|---|
Former Name | MEGHAN BERNADETTE MORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9418933) |
Enumeration Date | 2008-07-13 |
Last Update Date | 2024-05-28 |