| NPI | 1730449380 | 
|---|---|
| Former Name | MEREDITH FERN CARPENTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MT -68189)  | 
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 67565-020)  | 
| Enumeration Date | 2012-05-16 | 
| Last Update Date | 2021-06-21 |