| 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 |