NPI | 1356595391 |
---|---|
Former Name | MEREDITH ROSE DEMAINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 383520) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 268085) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN268085) | |
Enumeration Date | 2008-11-04 |
Last Update Date | 2023-08-16 |