NPI | 1942640297 |
---|---|
Former Name | MEGAN DIANE MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WV 2159) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD C05295) |
363A00000X Physician Assistant (Licence: MD C0005295) | |
363A00000X Physician Assistant (Licence: VA 0110-004282) | |
Enumeration Date | 2013-07-01 |
Last Update Date | 2022-04-18 |