| NPI | 1962910349 |
|---|---|
| Former Name | MEREDITH GRACE AREVALO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD T20180031) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R231732) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2023-11-24 |