NPI | 1902275993 |
---|---|
Former Name | MEREDITH EINSPAHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52882) |
Enumeration Date | 2015-09-19 |
Last Update Date | 2024-01-09 |