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 |