NPI | 1346633120 |
---|---|
Former Name | MELISSA SARAH CAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OK 34838) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 270029) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-18 |
Last Update Date | 2021-09-30 |