| NPI | 1013966423 |
|---|---|
| Former Name | MELINDA PATRICIA SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 39361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 101269980) |
| 207R00000X Internal Medicine (Licence: IA MD-46979) | |
| 207R00000X Internal Medicine (Licence: FL ME145469) | |
| 207R00000X Internal Medicine (Licence: TX S7231) | |
| 207R00000X Internal Medicine (Licence: KS 04-44655) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 39361) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 39361) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-03-21 |