NPI | 1528673423 |
---|---|
Former Name | MEREDITH ABERNETHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10162) |
Additional Taxonomies | 208800000X Urology (Licence: NC 0010-10162) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2024-06-12 |