NPI | 1942784632 |
---|---|
Former Name | MEGAN FERNOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7659) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ AP7659) |
Enumeration Date | 2018-09-19 |
Last Update Date | 2018-10-05 |