NPI | 1922486653 |
---|---|
Former Name | MEGAN ALYSSA DALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-137131) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-137131) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2016-06-07 |