| NPI | 1386676039 |
|---|---|
| Former Name | MELISSA LEE BROOMHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-10546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 015943) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-07-22 |