| NPI | 1922368810 |
|---|---|
| Former Name | MEGAN FRITTON GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: CT 56049) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086S0129X (Licence: RI MD16473) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2023-05-01 |