| NPI | 1366896565 |
|---|---|
| Former Name | MELISSA ROSE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME142757) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY P00133) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-09-27 |