| NPI | 1588843833 |
|---|---|
| Former Name | MEREDITH KAYE BOLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 1501180) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2011001434) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2020-04-07 |