NPI | 1790138246 |
---|---|
Other Name | MEREDITH A MEADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005444) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: VA 0110-005444) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2023-10-26 |