| NPI | 1023096161 |
|---|---|
| Former Name | CHERYL A. MELICK-CASANOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 29079) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 29079) |
| 207P00000X Emergency Medicine (Licence: CO DR.0029079) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2017-03-16 |