| NPI | 1871798546 |
|---|---|
| Former Name | MEGAN K. KOONTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101247606) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019690) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2010-07-19 |