| NPI | 1467789404 |
|---|---|
| Former Name | MEREDITH ANN GORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: MS PT4513) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2011-11-17 |