NPI | 1699121764 |
---|---|
Former Name | MEREDITH BALMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F343525-1) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016446) |
363L00000X Nurse Practitioner (Licence: NY 343525) | |
Enumeration Date | 2016-05-09 |
Last Update Date | 2023-07-03 |