NPI | 1861053068 |
---|---|
Former Name | MEREDITH LEILANI MAGNETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71009095A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28179551A) |
Enumeration Date | 2019-06-27 |
Last Update Date | 2020-11-30 |