| NPI | 1407415789 |
|---|---|
| Former Name | MELANIE SMALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151013533) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-06-04 |