NPI | 1972223022 |
---|---|
Former Name | MEGAN L HAAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71014441A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28252203A) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2023-12-11 |