NPI | 1922642099 |
---|---|
Former Name | MEGHAN KATHLEEN NOLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020235) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020235) |
Enumeration Date | 2019-11-01 |
Last Update Date | 2023-04-25 |