| 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 |