| NPI | 1407161433 |
|---|---|
| Former Name | MELISSA RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036123181) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 55416-21) |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2016-08-06 |