| NPI | 1164494654 |
|---|---|
| Former Name | MERIDETH MICHELLE SCHUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP024999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN688243) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-02-15 |