| NPI | 1417165614 |
|---|---|
| Former Name | MEREDITH LEIGH FISHBANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-41814) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231765) |
| 208000000X Pediatrics (Licence: PA MD429411) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2015-04-08 |