NPI | 1184943037 |
---|---|
Former Name | MELISSA LANGDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 29951) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0075466) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2019-03-11 |