| NPI | 1285914044 | 
|---|---|
| Former Name | MEREDITH LEA FETCH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 4092)  | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002365-1)  | 
| Enumeration Date | 2011-08-25 | 
| Last Update Date | 2018-10-16 |