| NPI | 1184917528 |
|---|---|
| Former Name | MELISSA MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P9966) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0040964) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2014-06-29 |