| NPI | 1891206207 |
|---|---|
| Former Name | MEGAN LOREE BRATTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024012501) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-04-22 |