NPI | 1669572442 |
---|---|
Former Name | ELIZABETH LYNN MEREDITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000364) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC002300) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2023-01-17 |