NPI | 1922114701 |
---|---|
Former Name | MEGAN LYNN NOON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: WA BC60578430) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 52937) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2015-07-22 |