NPI | 1891145397 |
---|---|
Former Name | MEGHAN SAUNDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101.0119535) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP131114) |
363LG0600X Nurse Practitioner Gerontology (Licence: TX AP131114) | |
Enumeration Date | 2016-06-15 |
Last Update Date | 2021-03-29 |