NPI | 1851946263 |
---|---|
Former Name | MEGHAN RENAE BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019041440) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011029783) |
363L00000X Nurse Practitioner (Licence: MO 2019041440) | |
Enumeration Date | 2019-08-04 |
Last Update Date | 2024-10-02 |