NPI | 1942440763 |
---|---|
Former Name | JODI L MEADOWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3321) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP3321) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2018-03-26 |