| NPI | 1972760866 |
|---|---|
| Former Name | MEAGHAN EILEEN MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09760000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 248524) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2016-07-14 |