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 |