| NPI | 1063740710 |
|---|---|
| Former Name | JAMIE LEIGH MEREDITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-2475) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102204573) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001310) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2023-09-29 |