| NPI | 1124377767 |
|---|---|
| Former Name | MELANIE CRUTCHFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 68187) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 60403) |
| 208600000X Surgery (Licence: GA 075643) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2023-07-19 |