NPI | 1992475792 |
---|---|
Former Name | MEGAN CARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO 12454) |
Additional Taxonomies | 174H00000X Health Educator |
183700000X Pharmacy Technician (Licence: MO 2014002767) | |
Enumeration Date | 2021-09-14 |
Last Update Date | 2024-05-16 |