NPI | 1164659009 |
---|---|
Former Name | LAUREN MELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS017040) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013139) |
207P00000X Emergency Medicine (Licence: SC TL1661) | |
Enumeration Date | 2009-06-18 |
Last Update Date | 2021-07-28 |