| NPI | 1952703613 |
|---|---|
| Former Name | MEGAN WHEATLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024175801) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 19092) |
| 163W00000X Registered Nurse (Licence: TN 196602) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2023-09-13 |