| NPI | 1871222653 | 
|---|---|
| Former Name | MEREDITH ANNE CARROLL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5016318)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016318)  | 
| Enumeration Date | 2022-06-07 | 
| Last Update Date | 2022-08-01 |