| NPI | 1922669191 |
|---|---|
| Former Name | MEAGAN BEERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.008365) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.006026RX) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2021-12-08 |