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 |