NPI | 1942825930 |
---|---|
Former Name | MEGHAN JOSEPHINE PAGELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006353) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003006A) |
Enumeration Date | 2020-06-15 |
Last Update Date | 2021-11-08 |