| NPI | 1265499651 |
|---|---|
| Former Name | MEREDITH A SIEGMUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60449763) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA178408) |
| 363A00000X Physician Assistant (Licence: NY 010972) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2017-03-27 |