| NPI | 1255839601 |
|---|---|
| Former Name | MELINDA MARIE VASSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 2113) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NE 2113) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-06-13 |