| NPI | 1053754655 |
|---|---|
| Former Name | JAZELLE MEALING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD460412) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63359) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-03-17 |