NPI | 1356847321 |
---|---|
Former Name | MELISSA PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 11405592-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11405592-1205) |
Enumeration Date | 2018-03-30 |
Last Update Date | 2022-06-01 |