| NPI | 1881140598 |
|---|---|
| Former Name | MEAGAN CLASSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: GA RN215371) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN215371) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-11-15 |