NPI | 1922516228 |
---|---|
Former Name | MEGHAN CULBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110-006073) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-01-21 |
Last Update Date | 2020-05-22 |