| NPI | 1659461754 | 
|---|---|
| Former Name | PAMELA S MEADOR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71000650) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28078266) | 
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2007-07-08 |