NPI | 1003025511 |
---|---|
Former Name | MELISSA R GERHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125-050665) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-050665) |
208000000X Pediatrics (Licence: IN 01069808A) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2023-07-21 |