Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | MO |
NPI | 1144766080 |
---|---|
Provider Name | Dr. Megan Little |
First Address | Grandview, MO 64030-2053 |
Second Address | Grandview, MO 64030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2017 |
Last Update Date | 03/09/2021 |