| NPI | 1902684012 |
|---|---|
| Former Name | MEGAN RUTH BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 1-202395) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 905699) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-12-20 |