NPI | 1164928032 |
---|---|
Former Name | MELISSA ANN KRAMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 90147) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-31 |
Last Update Date | 2023-12-15 |