NPI | 1104258169 |
---|---|
Former Name | MEREDITH ELDREDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP123898) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2018-05-25 |