| NPI | 1356581128 |
|---|---|
| Former Name | MEREDITH L WOODARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10001070A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005297RX) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2022-08-22 |