NPI | 1104003862 |
---|---|
Former Name | TARA LYNN MEREDITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704239859) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2025-01-17 |