| NPI | 1245515055 |
|---|---|
| Professional Name | MELISSA JENNIFER ETHERIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: SC 12000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12000) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2013-02-19 |