| NPI | 1184910556 |
|---|---|
| Former Name | MELISSA LYNNE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013944) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2015-07-14 |