NPI | 1902376601 |
---|---|
Former Name | MEGAN LERAE HORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012042) |
Additional Taxonomies | 176B00000X Midwife (Licence: WV 114780) |
363LF0000X Nurse Practitioner, Family (Licence: WV 83431) | |
Enumeration Date | 2018-11-26 |
Last Update Date | 2023-11-03 |