NPI | 1063901452 |
---|---|
Former Name | MELISSA ANNE WASILEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD484082) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD484082) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2024-08-07 |