| NPI | 1871828418 |
|---|---|
| Former Name | MEGAN ELIZABETH BORIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020449) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 6242) |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 1043889967) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 1992372403) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 1992372403) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2024-02-27 |