Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 14686 | MD |
NPI | 1003465477 |
---|---|
Provider Name | Meghan Mcinnes Palmer |
First Address | Towson, MD 21204-2077 |
Second Address | Towson, MD 21204-2077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2019 |
Last Update Date | 09/09/2019 |