| NPI | 1366882797 |
|---|---|
| Former Name | MELISSA A. JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 69054-21) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2018-05-04 |