| NPI | 1861840282 |
|---|---|
| Former Name | MEGAN MCCULLOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 62491) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 282461) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-05-18 |