NPI | 1881107183 |
---|---|
Former Name | MEGAN MARIE SCARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NC 0010-09518) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-09518) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2023-08-22 |