| NPI | 1588924260 |
|---|---|
| Former Name | MEREDITH KRISTEN PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A130626) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2021-12-16 |