| NPI | 1932409232 |
|---|---|
| Other Name | MEAGAN STEPHAN DISOTELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA APO6273) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |