| NPI | 1174968200 |
|---|---|
| Former Name | MELISSA LAUREN WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R0543) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2017-11-09 |