| NPI | 1013451962 |
|---|---|
| Former Name | MELISSA ANN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: UT 10714522-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10714522-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-06-10 |