| NPI | 1881974392 |
|---|---|
| Former Name | MEREDITH GARDINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9119846) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00601) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2025-08-15 |