NPI | 1174001846 |
---|---|
Former Name | MEREDITH PETTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00869300) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 629784-01) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2023-04-25 |