| NPI | 1508905431 |
|---|---|
| Former Name | MEREDITH CLAIRE MCMAHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 44481) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: IN 01071184A) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-11-07 |