NPI | 1942658919 |
---|---|
Former Name | MEREDITH K STEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 45626) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7659) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2021-01-11 |