| NPI | 1134631450 |
|---|---|
| Former Name | MEREDITH RUTH ROLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA PA11653) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2021-09-01 |