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 |