NPI | 1982071197 |
---|---|
Former Name | MEGAN K LAFFITTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109362) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09908) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2022-06-15 |