| NPI | 1124564083 |
|---|---|
| Former Name | MEREDITH N. BASHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28197992A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012674) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2025-02-12 |