NPI | 1023074937 |
---|---|
Former Name | MELISSA DENHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD441512) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0061289) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2023-08-15 |