NPI | 1912036617 |
---|---|
Former Name | MEGAN HEDLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-41154) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 30528) |
235Z00000X Speech-Language Pathologist, (Licence: KS 5070) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2022-08-24 |