| NPI | 1407293483 |
|---|---|
| Former Name | MELISSA SUE GASPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 29039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6920) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2016-09-26 |