NPI | 1952934796 |
---|---|
Former Name | MEGHAN O'REILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01028100) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021041) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-10-07 |