| NPI | 1881167682 |
|---|---|
| Former Name | MEGAN THERESA BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-78592) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-113980) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2022-07-28 |