NPI | 1154717874 |
---|---|
Former Name | MELINA BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 58531) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301506857) |
207Y00000X Otolaryngology (Licence: KY TP672) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2023-10-25 |