| NPI | 1902438260 |
|---|---|
| Former Name | MEGAN SORENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113006) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-05-28 |