NPI | 1851814057 |
---|---|
Former Name | ANDIE E MEADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13717) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 2098) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2022-07-21 |