| NPI | 1083187942 |
|---|---|
| Former Name | KAILA ANNE MEADOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 22501) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 22501) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-04-25 |