NPI | 1245734078 |
---|---|
Former Name | MEREDITH TERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-67471) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-19 |
Last Update Date | 2022-02-23 |