| NPI | 1982046264 |
|---|---|
| Former Name | MEAGAN FRANCES GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-009764) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 021548-1) |
| 363A00000X Physician Assistant (Licence: WY PA621) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 021548-1) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-10-05 |