NPI | 1952765208 |
---|---|
Former Name | MEAGAN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006277A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28200009A) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2016-06-24 |