| NPI | 1548155419 |
|---|---|
| Former Name | CAMRYN MECKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA066871) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-12-04 |