NPI | 1891233235 |
---|---|
Former Name | MEREDITH KIRK MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN282301) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-126498) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN282301) | |
Enumeration Date | 2017-02-06 |
Last Update Date | 2023-05-03 |