NPI | 1366932642 |
---|---|
Former Name | MEREDITH ANN ST.CLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS021176) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-05-13 |
Last Update Date | 2021-07-19 |