NPI | 1134567027 |
---|---|
Former Name | MELISSA M RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OR PG162782) |
Additional Taxonomies | 208600000X Surgery (Licence: OR DO189780) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2020-05-07 |