NPI | 1316201742 |
---|---|
Former Name | MELISSA RUHLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NE 31778) |
Additional Taxonomies | 208600000X Surgery (Licence: NE 6869) |
Enumeration Date | 2012-06-29 |
Last Update Date | 2021-09-01 |