NPI | 1942552583 |
---|---|
Former Name | MEGANN N. MITCHELL-REEVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60310236) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60310236) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2012-10-05 |