| NPI | 1346414877 |
|---|---|
| Former Name | MELANIE MARIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: LA MD.207226) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-10-24 |