| NPI | 1528447810 |
|---|---|
| Former Name | MEREDITH INGRID PHIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM 54473) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127925) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2023-04-26 |