| NPI | 1861788689 |
|---|---|
| Former Name | MEGAN L MCMAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 30773) |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine (Licence: OK 30773) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-08-05 |