| NPI | 1871049668 |
|---|---|
| Former Name | MEGAN BREIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15347) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 082999) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-10-10 |