NPI | 1417518192 |
---|---|
Former Name | AMANDA MEREDITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA12088700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT218745) |
Enumeration Date | 2019-06-24 |
Last Update Date | 2025-02-27 |